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Individual
VENKATA K CHALASANI
Active
Individual
VENKATA K CHALASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35074822
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0705982
MEDICAID LEGACY
OH
01
—
1356772255
GROUP NPI -WAPAKONETA PRIMARY CARE
OH
05
—
2090115
—
OH
01
—
9934723
MEDICARE GROUP PTAN
OH
01
—
H280550
MEDICARE INDIVIDUAL PTAN
OH
Enumeration date
09/07/2006
Last updated
08/05/2020
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