Individual
NITHYA SAI CHENNUPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 NE NORTHBROOK DR, ANKENY, IA 50021-4689
(515) 657-2680
Mailing address
2104 NE NORTHBROOK DR, ANKENY, IA 50021-4689
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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