Individual
DR. KOLLAGUNTA SREENIVASA CHANDRASEKHAR
Active
Individual
DR. KOLLAGUNTA SREENIVASA CHANDRASEKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME64020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18806
BC BS
FL
05
—
372983400
—
FL
Enumeration date
03/14/2006
Last updated
01/17/2017
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