Individual
CHAITANYA MANDAPAKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-5423
(859) 757-2927
(859) 341-0203
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 757-2927
(859) 341-0203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301095990
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
50416
KY
207RP1001X
Pulmonary Disease Physician
Primary
50416
KY
Other
Enumeration date
06/18/2010
Last updated
03/11/2021
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