| Chinthala, Pc | |
|
3557 Corsham Cir Carmel IN 46032-8211 | |
| (502) 523-2446 | |
| Not Available |
| Full Name | Chinthala, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3557 Corsham Cir, Carmel, Indiana |
| Authorized Official Name and Position | Prasanna Chinthala (OWNER) |
| Authorized Official Contact | 3172816586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chinthala, Pc 3557 Corsham Cir Carmel IN 46032-8211 Ph: (502) 523-2446 | Chinthala, Pc 3557 Corsham Cir Carmel IN 46032-8211 Ph: (502) 523-2446 |
| NPI Number | 1861664229 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Medicare PECOS PAC ID | 5294813168 |
|---|---|
| Medicare Enrollment ID | O20100713000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861664229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01063241A (Indiana) | Primary |
| Provider Name | Prasanna Chinthala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902913718 PECOS PAC ID: 2062502149 Enrollment ID: I20071212000666 |
| Provider Name | Azubike Nwokedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336507094 PECOS PAC ID: 8729383583 Enrollment ID: I20160217000173 |
| Provider Name | Ann Shackelford Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487111274 PECOS PAC ID: 1456692250 Enrollment ID: I20190404000257 |
| Provider Name | Megan Skelding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700330958 PECOS PAC ID: 7012246580 Enrollment ID: I20190909001994 |
| Provider Name | Augusta Ify Nobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851955611 PECOS PAC ID: 4789084294 Enrollment ID: I20211021001306 |
| Provider Name | Herbert Tafadzkia Zinzombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164178075 PECOS PAC ID: 6709254113 Enrollment ID: I20221116000566 |
| Provider Name | Queela K Tadoum |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598427809 PECOS PAC ID: 7911377569 Enrollment ID: I20221223000873 |
| Provider Name | Taiwo K Sowunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013626829 PECOS PAC ID: 6901072263 Enrollment ID: I20230117000330 |
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