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Individual

VIVEK BABU CHITTINENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
(763) 559-3779
Mailing address
4 NIQUETTE CT APT A, WINOOSKI, VT 05404-1854
(952) 838-5731

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042-0016282
VT
207L00000X
Anesthesiology Physician
042.0016282
VT
207L00000X
Anesthesiology Physician
Primary
74245
MN

Other

Enumeration date
03/20/2018
Last updated
06/22/2023
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