Dr. Radha Chintamaneni
Adolescent Medicine
97 S 4th St
Ishpeming
, Michigan 49849-2168
Dr. Radha Chintamaneni
Adolescent Medicine
97 S 4th St
Ishpeming
, Michigan 49849-2168
(906) 226-3875
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Radha Chintamaneni
- 2837 Us Highway 41 W
- Marquette, MI
- Zip : 49855-2252
- Fax : (906) 226-3875
- Phone : (906) 225-3964
Second Address
- Dr. Radha Chintamaneni
- 97 S 4th St
- Ishpeming, MI
- Zip : 49849-2168
- Fax : (906) 485-5676
- Phone : (906) 485-5583
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 4301046858 | MI |
National Provider Identifier
| NPI | 1073792925 |
|---|---|
| Provider Name | Dr. Radha Chintamaneni |
| First Address | Marquette, MI 49855-2252 |
| Second Address | Ishpeming, MI 49849-2168 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/10/2007 |
| Last Update Date | 29/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0520034 | BLUE CROSS BLUE SHIELD MI (01) | MI |
| 1519630 | (05) | MI |
| B45304 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.