Individual
MRS. SUDHATHI CHENNURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3700 SOUTHERN BLVD STE 401, KETTERING, OH 45429-1265
(855) 500-2873
(937) 281-3913
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(375) 228-0689
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
35.082992
OH
207RH0003X
Hematology & Oncology Physician
Primary
35184146
OH
207RH0003X
Hematology & Oncology Physician
Q1965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2500609
—
OH
Enumeration date
11/27/2006
Last updated
02/01/2024
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