Individual
DR. SUBRAHMANYAM CHIVUKULA
Active
Individual
DR. SUBRAHMANYAM CHIVUKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD 034229E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010137740003
—
PA
01
—
00220089000
HIGHMARK
—
01
—
4079599
AETNA
—
Enumeration date
07/18/2006
Last updated
07/08/2007
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