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Individual

CHANDRASEKHAR KOTA

Active
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Individual

CHANDRASEKHAR KOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
35.064554
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD426736
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000736969
ANTHEM
OH
01
—
000000737001
ANTHEM
OH
01
—
003359380
HIGHMARK BLUE CROSS BLUE SHIELD
PA
05
—
0055992
—
OH
05
—
1013266190002
—
PA
05
—
3810021787
—
WV
01
—
P01667340
RAILROAD MEDICARE
PA
Enumeration date
05/04/2006
Last updated
07/26/2016
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