Individual
ARUNASREE CHINNAKOTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15400 LOS GATOS BLVD, LOS GATOS, CA 95032-2502
(408) 523-3590
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A100619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0091679
MEDI-CAL ID NUMBER
CA
Enumeration date
09/12/2006
Last updated
01/07/2019
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