Mungara, Charan
Mungara, Charan is an individual health care provider with primary practice located at 353 Fairmont Blvd, Monument Health Rapid City Hospital , Rapid City SD 57701-7375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mungara, Charan can be contacted via phone (205) 441-9459.Contact Information
Primary practice address
353 Fairmont Blvd, Monument Health Rapid City Hospital
Rapid City SD 57701-7375
Phone: (205) 441-9459
Fax: (605) 755-0707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 11971 | South Dakota |
Profile Details
| NPI number | 1649423872 |
|---|---|
| LBN Legal business name | Mungara, Charan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2008 |
| Last updated | Aug 11th, 2020 - about 6 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 | 1649423872 | NPPES |
| Indiana | MEDICAID | 201029750 | |
| Indiana | Other | 000000727503 | |
| Indiana | MEDICAID | 1649423872 |
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