Individual
SRIVASAVI K. CHAGANTI
Active
Individual
SRIVASAVI K. CHAGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0067616
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415313800
—
MD
01
—
CC4687 P00633918
RAILROAD MEDICARE
GA
Enumeration date
01/24/2007
Last updated
03/16/2015
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