Chintala, Kavitha
Chintala, Kavitha is an individual health care provider with primary practice located at Henry Ford Health System 2799 West Grand Boulevard, Detroit MI 48202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Chintala, Kavitha can be contacted via phone (313) 916-9106.Contact Information
Primary practice address
Henry Ford Health System 2799 West Grand Boulevard
Detroit MI 48202
Phone: (313) 916-9106
Fax: (313) 916-1249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301076920 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 4301076920 | Michigan |
Profile Details
| NPI number | 1770520272 |
|---|---|
| LBN Legal business name | Chintala, Kavitha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Oct 4th, 2007 - about 19 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 | 1770520272 | NPPES |
| Other | KC076920 | CHAMPUS-CHAMPUS | |
| Other | KC076920 | CHAMPUS-CHAMPUS |
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