Individual
SRINIVAS REDDY CHITTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
10501 VISTA DEL SOL DR, SUITE 210, EL PASO, TX 79925-7940
(915) 633-9317
(915) 633-8676
Mailing address
10501 VISTA DEL SOL DR, SUITE 210, EL PASO, TX 79925-7940
(915) 633-9317
(915) 633-8676
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L0085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16664450-01
—
TX
01
—
8B8778
MEDICARE
—
Enumeration date
11/02/2006
Last updated
10/14/2014
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