Chandramouli, Aaditya G

Chandramouli, Aaditya G is an individual health care provider with primary practice located at 252 Mchenry St , Burlington WI 53105-1828. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Chandramouli, Aaditya G can be contacted via phone (262) 767-6000.

Contact Information

Primary practice address
252 Mchenry St Burlington WI 53105-1828
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01085296A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01085296A Indiana

Profile Details

NPI number 1811493703
LBN Legal business name Chandramouli, Aaditya G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2018
Last updated May 1st, 2025 - about last year

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 1811493703 NPPES
Wisconsin MEDICAID 100295074

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