Brundavanam, Chaitanya Vijay

Brundavanam, Chaitanya Vijay is an individual health care provider with primary practice located at 1721 S Stephenson Ave , Iron Mountain MI 49801-3637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Brundavanam, Chaitanya Vijay can be contacted via phone (906) 776-5316.

Contact Information

Primary practice address
1721 S Stephenson Ave Iron Mountain MI 49801-3637
Phone: (906) 776-5316
Fax: (906) 776-5761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301088796 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301088796 Michigan

Profile Details

NPI number 1669699211
LBN Legal business name Brundavanam, Chaitanya Vijay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Oct 4th, 2023 - about last year

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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