Gnanashanmugam, Chinnia

Gnanashanmugam, Chinnia is an sole proprietor health care provider with primary practice located at 2400 Harbor Blvd Suite 12, Port Charlotte FL 33952-5052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gnanashanmugam, Chinnia can be contacted via phone (941) 625-6187.

Contact Information

Primary practice address
2400 Harbor Blvd Suite 12 Port Charlotte FL 33952-5052
Phone: (941) 625-6187
Fax: (941) 625-7887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME38376 Florida

Profile Details

NPI number 1114944642
LBN Legal business name Gnanashanmugam, Chinnia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Sep 9th, 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 1114944642 NPPES
Florida MEDICAID 066348400

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