Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SOUMYA CHOWDARY MADALA, M.D.
ActiveDR. SOUMYA CHOWDARY MADALA, M.D. is a Sports Medicine (IM) healthcare provider located in GRAND RAPIDS, Michigan. NPI 1043334527 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1043334527
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2007 (19.433901922308 yrs)
- Last Updated
- Dec 3, 2021
- Licenses
-
4301085495 (MI)4301085495 (MI)
Practice Information
- Address
-
260 JEFFERSON AVE SESTE 300GRAND RAPIDS, MI, 495034597Browse MI providers · Browse ZIP 49503
- Phone
- 6166856330
- Fax
- 6166853010
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. JASON PATRICK COLES | MD | 1619088580 |
| DR. RAVICHAND MADALA | M.D. | 1083730907 |
| DAVID CHI MING SHEN | MD | 1114120771 |
| DR. KELLY ANNE WATERS | M.D. | 1821232455 |
| JEREMY BRADFORD PETROUS | DO | 1639584196 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.