Choudary, Jithendra P
Choudary, Jithendra P is an individual health care provider with primary practice located at 1100 Reid Pkwy Suite 210, Richmond IN 47374-1157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Choudary, Jithendra P can be contacted via phone (765) 962-1337.Contact Information
Primary practice address
1100 Reid Pkwy Suite 210
Richmond IN 47374-1157
Phone: (765) 962-1337
Fax: (765) 966-0858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01065734A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 35.074059 | Ohio |
Profile Details
| NPI number | 1639161821 |
|---|---|
| LBN Legal business name | Choudary, Jithendra P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | May 13th, 2021 - about 5 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 | 1639161821 | NPPES |
| Other | 000000676851 | ANTHEM | |
| MEDICAID | 200442130 | ANTHEM | |
| MEDICAID | 2262279 | ANTHEM |
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