Reddy, Chakradhar Coochcula

Reddy, Chakradhar Coochcula is an individual health care provider with primary practice located at 36232 Garfield , Clinton Twp MI 48035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Reddy, Chakradhar Coochcula can be contacted via phone (586) 791-5210.

Contact Information

Primary practice address
36232 Garfield Clinton Twp MI 48035
Phone: (586) 791-5210
Fax: (586) 791-0049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301034413 Michigan

Profile Details

NPI number 1235291667
LBN Legal business name Reddy, Chakradhar Coochcula
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Nov 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235291667 NPPES
Michigan Other 4301034413 PHYSICIAN LICENSE
Michigan MEDICAID 1235291667 PHYSICIAN LICENSE

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