Polkampally, Chudamani Rao
Polkampally, Chudamani Rao is an individual health care provider with primary practice located at 225 Country Club Dr Ste 140 , Stockbridge GA 30281-7392. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Polkampally, Chudamani Rao can be contacted via phone (770) 415-5889.Contact Information
Primary practice address
225 Country Club Dr Ste 140
Stockbridge GA 30281-7392
Phone: (770) 415-5889
Fax: (770) 415-5890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57.009009 | Ohio |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | P8066 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0101241347 | Virginia |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 74563 | Georgia |
Profile Details
| NPI number | 1275620452 |
|---|---|
| LBN Legal business name | Polkampally, Chudamani Rao |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Apr 30th, 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 | 1275620452 | NPPES |
| Texas | MEDICAID | 339316701 | |
| Texas | Other | P01393816 |
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