Kuthiala, Chitra

Kuthiala, Chitra is an sole proprietor health care provider with primary practice located at 9765 San Jose Blvd , Jacksonville FL 32257-4402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Kuthiala, Chitra can be contacted via phone (904) 262-9135.

Contact Information

Primary practice address
9765 San Jose Blvd Jacksonville FL 32257-4402
Phone: (904) 262-9135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 29708 Florida
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 021322 Georgia

Profile Details

NPI number 1700898434
LBN Legal business name Kuthiala, Chitra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Jul 9th, 2007 - about 17 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 1700898434 NPPES
Florida Other 279638 AVMED
Florida Other 42736 AVMED
Florida Other 2699245 AVMED
Florida Other 192665 AVMED
Florida Other 3464796-01 AVMED
Florida Other 192665 AVMED
Florida MEDICAID 265658200 AVMED

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