Chavali, Subbarao

Chavali, Subbarao is an sole proprietor health care provider with primary practice located at 200 S Wenona St Suite G 28, Bay City MI 48706-8820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chavali, Subbarao can be contacted via phone (989) 893-8116.

Contact Information

Primary practice address
200 S Wenona St Suite G 28 Bay City MI 48706-8820
Fax: (989) 893-8151
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301055651 Michigan

Profile Details

NPI number 1669490769
LBN Legal business name Chavali, Subbarao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Apr 24th, 2013 - about 11 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 1669490769 NPPES
Michigan Other 0600901521 BLUE CROSS AND BLUE CARE
Michigan Other 0982786 BLUE CROSS AND BLUE CARE
Michigan Other P00294280 BLUE CROSS AND BLUE CARE
Michigan MEDICAID 4270309 BLUE CROSS AND BLUE CARE

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