Chevireddy, Prajwal

Chevireddy, Prajwal is an individual health care provider with primary practice located at 9601 Baptist Health Dr Ste 350 , Little Rock AR 72205-6356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Chevireddy, Prajwal can be contacted via phone (501) 224-2141.

Contact Information

Primary practice address
9601 Baptist Health Dr Ste 350 Little Rock AR 72205-6356
Fax: (501) 224-0506
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X E5630 Arkansas

Profile Details

NPI number 1255543278
LBN Legal business name Chevireddy, Prajwal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Apr 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255543278 NPPES
Arkansas MEDICAID 1255543278

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