Chandrasekhar, Kollagunta Sreenivasa
Chandrasekhar, Kollagunta Sreenivasa is an sole proprietor health care provider with primary practice located at 320 1St St N , Winter Haven FL 33881-4113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chandrasekhar, Kollagunta Sreenivasa can be contacted via phone (863) 508-1101.Contact Information
Primary practice address
320 1St St N
Winter Haven FL 33881-4113
Phone: (863) 508-1101
Fax: (863) 299-6158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME64020 | Florida |
Profile Details
| NPI number | 1396713491 |
|---|---|
| LBN Legal business name | Chandrasekhar, Kollagunta Sreenivasa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jan 17th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396713491 | NPPES |
| Florida | MEDICAID | 372983400 | |
| Florida | Other | 18806 |
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