Gottipati, Chandra S
Gottipati, Chandra S is an individual health care provider with primary practice located at 1720 Highway 59 S , Thief River Falls MN 56701-4331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gottipati, Chandra S can be contacted via phone (218) 681-4747.Contact Information
Primary practice address
1720 Highway 59 S
Thief River Falls MN 56701-4331
Phone: (218) 681-4747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 48897 | Minnesota |
Profile Details
| NPI number | 1770635682 |
|---|---|
| LBN Legal business name | Gottipati, Chandra S |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 19th, 2012 - about 14 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 | 1770635682 | NPPES |
| Other | 1050984 | PREFERREDONE | |
| MEDICAID | 14261 | PREFERREDONE | |
| Other | 28770 | PREFERREDONE | |
| MEDICAID | 547652000 | PREFERREDONE | |
| Other | HP80578 | PREFERREDONE | |
| Other | 0127049 | PREFERREDONE |
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