Individual
DR. SRIDHAR CHALASANI
Active
Individual
DR. SRIDHAR CHALASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
SC077498
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105542
CIGNA
—
05
—
1063494607
—
MI
01
—
134398
PREFERRED CHOICES
—
01
—
135082
GREAT LAKES
—
01
—
1417961137
BCBS BRONSON
MI
01
—
1430026
PHYSICIANS HEALTH PLAN
—
01
—
280001089
RAILROAD MEDICARE
—
01
—
383125785105
COMMUNITY CHOICE MICHIGAN
—
05
—
4408297
—
MI
01
—
7512375
AETNA
—
01
—
P116414
BLUE CARE NETWORK
—
Enumeration date
11/18/2005
Last updated
11/27/2023
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