Individual
DR. SUBRAHMANYAM CHIVUKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
245 MILL STREET, BRISTOL, PA 19007
(215) 785-5100
(215) 785-5100
Mailing address
245 MILL STREET, BRISTOL, PA 19007
(215) 785-5100
(215) 785-5100
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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