Individual
HARAGA CHENGAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
265 MAIN ST, BELLEVILLE HEALTH CARE PC, BELLEVILLE, MI 48111
(734) 697-9300
(734) 697-0374
Mailing address
265 MAIN ST, BELLEVILLE HEALTH CARE PC, BELLEVILLE, MI 48111
(734) 697-9300
(734) 697-0374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301062555
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001066
MIDWEST HEALTH PLAN
MI
01
—
122538
GREAT LAKES HEALTH PLAN
MI
01
—
125085
CARE CHOICE
MI
05
—
319935210
—
MI
01
—
383254111
TAX ID# COMMERCIAL INS
MI
01
—
700H210540
BCBS
MI
01
—
F84195
HEALTH ALLIANCE PLAN
MI
Enumeration date
10/23/2006
Last updated
07/08/2007
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