Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | 5315007189 | MI |
Y | 207R00000X | Internist | 4301078798 | MI |
Y | 111NI0900X | Internist | 4301078798 | MI |
NPI | 1528115037 |
---|---|
Provider Name | Radha Kumari Chitturi |
First Address | Warren, MI 48093 |
Second Address | Warren, MI 48093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 25/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4359595 | (05) | MI |
H57706 | (02) | MI |
OM30470012 | (02) | MI |