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Individual

ROJA CHIMAKURTHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 MEDICAL CENTER DR, STE 360, MIDDLETOWN, OH 45005-5200
(513) 217-5720
(513) 217-5729
Mailing address
4600 MONTGOMERY RD, STE 105, CINCINNATI, OH 45212-2697
(513) 487-5305
(513) 487-5317

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35.129555
OH
207RN0300X
Nephrology Physician
49460
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037560800
MD
01
974970-01
CAREFIRST BC/BS
MD
05
PENDING
OH
01
S062-0440
CAREFIRST BC/BS - REGIONAL
MD
Enumeration date
05/21/2008
Last updated
10/18/2016
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