Individual
CHAITANYA BUKKAPATNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
881 E MAIN ST, COLUMBUS, OH 43205-1713
(614) 253-8537
Mailing address
7540 RAVENS NEST CT, COLUMBUS, OH 43235-1783
(614) 670-2609
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35.146117
OH
208D00000X
General Practice Physician
72815-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
7468851
WI
Other
Enumeration date
06/08/2018
Last updated
04/22/2026
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