Individual
DR. CHINTAMANENI P CHOUDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 242, HAGERSTOWN, MD 21742-6728
(240) 513-7072
(240) 513-6241
Mailing address
11110 MEDICAL CAMPUS RD STE 242, HAGERSTOWN, MD 21742-6728
(240) 513-7072
(240) 513-6241
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01047211A
IN
207RG0100X
Gastroenterology Physician
35076586
OH
207RG0100X
Gastroenterology Physician
Primary
D0066559
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1673071
AETNA - HMO
—
01
—
290280
JHHC
—
01
—
4319500
AETNA HMO
—
01
—
611061-04
CAREFIRST
MD
01
—
6213953
AETNA
—
01
—
874550
MEDICARE
MD
01
—
9366546
CIGNA
MD
01
—
E6310004
CAREFIRST BLUE CHOICE
MD
01
—
P00460055
RAILROAD MEDICARE
MD
Enumeration date
01/11/2006
Last updated
10/04/2023
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