Chidipothu-Bobba, Chitra
Chidipothu-Bobba, Chitra is an individual health care provider with primary practice located at 3650 Steve Reynolds Blvd. Kaiser Permanente Gwinnett Medical Center, Duluth GA 30096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Chidipothu-Bobba, Chitra can be contacted via phone (770) 931-6220.Contact Information
Primary practice address
3650 Steve Reynolds Blvd. Kaiser Permanente Gwinnett Medical Center
Duluth GA 30096
Phone: (770) 931-6220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35088748 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 066011 | Georgia |
Profile Details
| NPI number | 1619026440 |
|---|---|
| LBN Legal business name | Chidipothu-Bobba, Chitra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Mar 29th, 2022 - about 2 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 | 1619026440 | NPPES |
| Ohio | Other | 35088748 | STATE LICENSE |
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