Individual
KRISHNABABU CHUNDURI
Active
Individual
KRISHNABABU CHUNDURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G0378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00TE62
BLUE CROSS BLUE SHIELD
TX
05
—
127931703
—
TX
01
—
C14487
CHAMPUS/TRICARE
TX
Enumeration date
09/13/2005
Last updated
10/10/2011
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