Chakravarthi, Srinivasachari Tatadesika

Chakravarthi, Srinivasachari Tatadesika is an individual health care provider with primary practice located at 2222 Cherry St Suite M200, Toledo OH 43608-2673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Chakravarthi, Srinivasachari Tatadesika can be contacted via phone (419) 251-8019.

Contact Information

Primary practice address
2222 Cherry St Suite M200 Toledo OH 43608-2673
Phone: (419) 251-8019
Fax: (419) 251-5819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301084746 Michigan
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 35085008 Ohio

Profile Details

NPI number 1174590962
LBN Legal business name Chakravarthi, Srinivasachari Tatadesika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Sep 17th, 2015 - about 10 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 1174590962 NPPES
Michigan MEDICAID 4685161
Michigan MEDICAID 0132377
Michigan Other 0999980
Michigan Other 1400910402
Michigan MEDICAID 4753593
Michigan MEDICAID 4753637
Michigan Other 700Z946010
Michigan Other 1013097
Michigan Other 1013097
Michigan Other 700Z946010
Michigan Other 700Z946010
Michigan Other 0999980
Michigan Other 700Z946010
Michigan Other 7344665

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