Individual
CHITRA GOWDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
7644 S NANTUCKET WOODS CT, TERRE HAUTE, IN 47802-9036
(812) 234-4642
(812) 234-7314
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01056789A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000357301
BLUE CROSS BLUE SHIELD
IN
05
—
200405940A
—
IN
Enumeration date
02/06/2007
Last updated
03/04/2019
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