Gottam, Chethana Chandrupatla
Gottam, Chethana Chandrupatla is an individual health care provider with primary practice located at 28903 Woodward Ave , Berkley MI 48072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Gottam, Chethana Chandrupatla can be contacted via phone (248) 581-0333.Contact Information
Primary practice address
28903 Woodward Ave
Berkley MI 48072
Phone: (248) 581-0333
Fax: (248) 876-9144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME116448 | Florida |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036.122055 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301108548 | Michigan |
Profile Details
| NPI number | 1669664009 |
|---|---|
| LBN Legal business name | Gottam, Chethana Chandrupatla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Aug 22nd, 2018 - about 8 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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