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Individual

DR. RAJA SEKHAR CHENNUPATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
950 N 14TH ST STE 100, BEAUMONT, TX 77702-1112
(409) 833-5858
(409) 833-1155
Mailing address
950 N 14TH ST, SUITE 100, BEAUMONT, TX 77702-1101
(409) 833-5858
(409) 833-1155

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K9754
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104524704
TX
01
76-0233973
TAX ID
TX
01
8G0671
BCBS
TX
Enumeration date
04/25/2006
Last updated
07/23/2019
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