Reddy, Chakradhar Coochcula
Reddy, Chakradhar Coochcula is an individual health care provider with primary practice located at 36232 Garfield , Clinton Twp MI 48035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Reddy, Chakradhar Coochcula can be contacted via phone (586) 791-5210.Contact Information
Primary practice address
36232 Garfield
Clinton Twp MI 48035
Phone: (586) 791-5210
Fax: (586) 791-0049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 4301034413 | Michigan |
Profile Details
| NPI number | 1235291667 |
|---|---|
| LBN Legal business name | Reddy, Chakradhar Coochcula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Nov 4th, 2021 - about 3 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 | 1235291667 | NPPES |
| Michigan | Other | 4301034413 | PHYSICIAN LICENSE |
| Michigan | MEDICAID | 1235291667 | PHYSICIAN LICENSE |
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