Chakilum, Shyamsunder R

Chakilum, Shyamsunder R is an individual health care provider with primary practice located at 1409 E 84Th Pl Regional Mental Health Center, Merrillville IN 46410-6451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Chakilum, Shyamsunder R can be contacted via phone (219) 794-2000.

Contact Information

Primary practice address
1409 E 84Th Pl Regional Mental Health Center Merrillville IN 46410-6451
Phone: (219) 794-2000
Fax: (219) 794-2010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036-085813 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01068801A Indiana

Profile Details

NPI number 1295706521
LBN Legal business name Chakilum, Shyamsunder R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jan 19th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295706521 NPPES
Indiana Other 000000700958 ANTHEM BC/BS
Indiana MEDICAID 201011930 ANTHEM BC/BS

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