Chenam, Avinash
Chenam, Avinash is an individual health care provider with primary practice located at 489 E 21St St , San Bernardino CA 92404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chenam, Avinash can be contacted via phone (909) 882-2973.Contact Information
Primary practice address
489 E 21St St
San Bernardino CA 92404
Phone: (909) 882-2973
Fax: (909) 882-2681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A139184 | California |
Profile Details
| NPI number | 1841502986 |
|---|---|
| LBN Legal business name | Chenam, Avinash |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2010 |
| Last updated | Sep 18th, 2018 - 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 | 1841502986 | NPPES |
| California | MEDICAID | GR0047351 |
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