Chintamaneni, Radha

Chintamaneni, Radha is an individual health care provider with primary practice located at 97 S 4Th St , Ishpeming MI 49849-2168. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Chintamaneni, Radha can be contacted via phone (906) 485-5583.

Contact Information

Primary practice address
97 S 4Th St Ishpeming MI 49849-2168
Phone: (906) 485-5583
Fax: (906) 485-5676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4301046858 Michigan

Profile Details

NPI number 1073792925
LBN Legal business name Chintamaneni, Radha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073792925 NPPES
Michigan Other 0520034 BLUE CROSS BLUE SHIELD MI
Michigan MEDICAID 1519630 BLUE CROSS BLUE SHIELD MI

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