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Individual

DR. SRINATH CHINNAKOTLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0356
(612) 626-6100
Mailing address
420 DELAWARE ST SE, MMC 195, MINNEAPOLIS, MN 55455-0341
(612) 625-3373
(612) 624-7168

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
52651
MN
204F00000X
Transplant Surgery Physician
L2843
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487852-03
TX
05
1487852-04
TX
01
8H3714
BCBS
TX
Enumeration date
06/26/2006
Last updated
11/13/2014
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