Provider Demographics
NPI:1306963020
Name:BATTLE CREEK ENDOSCOPY & SURGERY LLC
Entity type:Organization
Organization Name:BATTLE CREEK ENDOSCOPY & SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SRIDHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALASANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-441-1755
Mailing Address - Street 1:3770 CAPITAL AVE SW STE C
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-9411
Mailing Address - Country:US
Mailing Address - Phone:269-441-1755
Mailing Address - Fax:
Practice Address - Street 1:3770 CAPITAL AVE SW
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-9411
Practice Address - Country:US
Practice Address - Phone:269-441-1755
Practice Address - Fax:269-441-1756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical