Individual
CHITRA CHIDIPOTHU-BOBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096
(770) 931-6220
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
066011
GA
207R00000X
Internal Medicine Physician
35088748
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35088748
STATE LICENSE
OH
Enumeration date
01/10/2007
Last updated
03/29/2022
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