Individual
V CHOWDRY PINNAMANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 NE 15TH ST, WASHINGTON, IN 47501-2104
(317) 333-9960
(888) 400-1839
Mailing address
1314 E WALNUT ST, WASHINGTON, IN 47501-2860
(203) 568-0531
(888) 400-1839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056444
IN
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
01056444A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200810500
—
IN
Enumeration date
11/02/2005
Last updated
03/17/2018
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