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Individual

DR. SRIDHAR CHALASANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3770 CAPITAL AVE SW, STE A, BATTLE CREEK, MI 49015-9411
(269) 441-1771
(269) 441-1773
Mailing address
3770 CAPITAL AVE SW, SUITE A, BATTLE CREEK, MI 49015-9411
(269) 441-1771
(269) 441-1773

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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