Chodisetty, Subrahmanyam

Chodisetty, Subrahmanyam is an sole proprietor health care provider with primary practice located at 3949 Sunforest Ct Suite 105, Toledo OH 43623-4473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Chodisetty, Subrahmanyam can be contacted via phone (419) 475-9341.

Contact Information

Primary practice address
3949 Sunforest Ct Suite 105 Toledo OH 43623-4473
Fax: (419) 475-2761
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35080374 Ohio

Profile Details

NPI number 1386635365
LBN Legal business name Chodisetty, Subrahmanyam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Aug 4th, 2015 - about 9 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 1386635365 NPPES
Ohio MEDICAID 2298062

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