Individual
DR. SUBBARAO CHAVALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S WENONA ST, SUITE G 28, BAY CITY, MI 48706-8820
(989) 893-8116
(989) 893-8151
Mailing address
200 S. WENONA, SUITE G-28, BAY CITY, MI 48706-8831
(989) 893-8116
(989) 893-8151
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301055651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600901521
BLUE CROSS AND BLUE CARE
MI
01
—
0982786
HEALTH PLUS
MI
05
—
4270309
—
MI
01
—
P00294280
TRAVELERS MEDICARE
MI
Enumeration date
07/17/2006
Last updated
04/24/2013
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