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Individual
CHANDRA S GOTTIPATI
Active
Individual
CHANDRA S GOTTIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48897
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127049
MEDICA
—
01
—
1050984
PREFERREDONE
—
05
—
14261
—
ND
01
—
28770
ND BCBS
ND
05
—
547652000
—
MN
01
—
HP80578
HEALTHPARTNERS
—
Enumeration date
01/18/2007
Last updated
01/19/2012
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