Chandraiah, Shambhavi

Chandraiah, Shambhavi is an individual health care provider with primary practice located at 2 Professional Park Dr Ste 21 , Johnson City TN 37604-6584. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Chandraiah, Shambhavi can be contacted via phone (423) 379-8120.

Contact Information

Primary practice address
2 Professional Park Dr Ste 21 Johnson City TN 37604-6584
Phone: (423) 379-8120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 52060 Tennessee

Profile Details

NPI number 1760439392
LBN Legal business name Chandraiah, Shambhavi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jan 16th, 2024 - 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 1760439392 NPPES
Mississippi MEDICAID 00122774
Mississippi MEDICAID Q008958
Mississippi Other 260045972
Mississippi Other P00634032

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