Punukollu, Chandrasekhara. Rao

Punukollu, Chandrasekhara. Rao is an individual health care provider with primary practice located at 443 Frye Farm Rd Suite 100, Greensburg PA 15601-2338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Punukollu, Chandrasekhara. Rao can be contacted via phone (724) 532-5360.

Contact Information

Primary practice address
443 Frye Farm Rd Suite 100 Greensburg PA 15601-2338
Phone: (724) 532-5360
Fax: (724) 879-4033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD041732L Pennsylvania

Profile Details

NPI number 1912014549
LBN Legal business name Punukollu, Chandrasekhara. Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Nov 18th, 2016 - 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 1912014549 NPPES
Pennsylvania MEDICAID 0012140750009
Pennsylvania MEDICAID 0012140750004

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