Individual
DR. INDRANI SHREEKANTH CHUTKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2231 TIMBER TRL, BELLEFONTAINE, OH 43311-9036
(937) 599-3115
Mailing address
2231 TIMBER TRL, BELLEFONTAINE, OH 43311-9036
(937) 599-3115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.090847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075001
—
OH
Enumeration date
08/22/2008
Last updated
09/04/2014
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