Individual
NAGESWARARAO VENKATA CHALASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 UNIVERSITY DR S RT 1707, FARGO, ND 58103-6104
(701) 234-1728
(701) 234-1681
Mailing address
1720 UNIVERSITY DR S RT 1707, FARGO, ND 58103-6104
(701) 234-1728
(701) 234-1681
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7512
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014818
ND BLUE SHIELD
ND
01
—
050050519
RR MEDICARE
ND
05
—
10221
—
ND
05
—
104026000
—
MN
01
—
53A50CH
MN BLUE SHIELD
MN
Enumeration date
05/05/2006
Last updated
07/08/2021
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