Individual
DR. MANOHAR KUMAR CHENCHUGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 HEALING WAY, SUITE 320, WESLEY CHAPEL, FL 33543-5453
(813) 779-6303
(888) 977-1998
Mailing address
2700 HEALING WAY, SUITE 320, WESLEY CHAPEL, FL 33543-5453
(813) 779-6303
(888) 977-1998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME114742
FL
208M00000X
Hospitalist Physician
Primary
ME114742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022479100
—
MD
Enumeration date
03/22/2007
Last updated
05/08/2017
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