Chalasani, Nageswararao Venkata

Chalasani, Nageswararao Venkata is an individual health care provider with primary practice located at 1720 University Dr S Rt 1707 , Fargo ND 58103-6104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chalasani, Nageswararao Venkata can be contacted via phone (701) 234-1728.

Contact Information

Primary practice address
1720 University Dr S Rt 1707 Fargo ND 58103-6104
Fax: (701) 234-1681
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 7512 North Dakota

Profile Details

NPI number 1184672891
LBN Legal business name Chalasani, Nageswararao Venkata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2021 - about 3 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 1184672891 NPPES
Minnesota Other 53A50CH MN BLUE SHIELD
Minnesota Other 014818 MN BLUE SHIELD
Minnesota MEDICAID 104026000 MN BLUE SHIELD
Minnesota MEDICAID 10221 MN BLUE SHIELD
Minnesota Other 050050519 MN BLUE SHIELD

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