Individual
SRINIVASACHARI TATADESIKA CHAKRAVARTHI
Active
Individual
SRINIVASACHARI TATADESIKA CHAKRAVARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35085008
OH
207T00000X
Neurological Surgery Physician
4301084746
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132377
—
OH
01
—
0999980
BAY HEALTH PLAN
MI
01
—
1013097
MCLAREN HEALTH PLAN
MI
01
—
1400910402
BCBSM
MI
05
—
4685161
—
MI
05
—
4753593
—
MI
05
—
4753637
—
MI
01
—
700Z946010
BCBSM
MI
01
—
7344665
AETNA
MI
Enumeration date
03/01/2006
Last updated
09/17/2015
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