Chirumamilla, Latchaiah
Chirumamilla, Latchaiah is an sole proprietor health care provider with primary practice located at 102 Connie Ave Ste 204 , Salem IN 47167-2313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Chirumamilla, Latchaiah can be contacted via phone (812) 755-4443.Contact Information
Primary practice address
102 Connie Ave Ste 204
Salem IN 47167-2313
Phone: (812) 755-4443
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01046148A | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01046148A | Indiana |
Profile Details
| NPI number | 1114987583 |
|---|---|
| LBN Legal business name | Chirumamilla, Latchaiah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jun 14th, 2022 - about 4 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 | 1114987583 | NPPES |
| Indiana | MEDICAID | 200189350 | |
| Indiana | Other | 199040 |
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