| R Chunduri Md Inc | |
|
1230 Union Blvd Englewood OH 45322-2552 | |
| (937) 836-7130 | |
| (937) 836-9727 |
| Full Name | R Chunduri Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1230 Union Blvd, Englewood, Ohio |
| Authorized Official Name and Position | Ramamohan Chunduri (PRESIDENT) |
| Authorized Official Contact | 9378367130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Chunduri Md Inc 1230 Union Blvd Englewood OH 45322-2552 Ph: (937) 836-7130 | R Chunduri Md Inc 1230 Union Blvd Englewood OH 45322-2552 Ph: (937) 836-7130 |
| NPI Number | 1932398534 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932398534 | NPI | - | NPPES |
| 0249583 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36821 (Ohio) | Primary |
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