Individual
DR. CHANDRA P HARITHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 ARLINGTON AVE, BESSEMER, AL 35020-4221
(205) 424-6001
(205) 497-9369
Mailing address
2201 ARLINGTON AVE, BESSEMER, AL 35020-4221
(205) 424-6001
(205) 497-9369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00018045
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051028060
BLUE SHIELD
AL
01
—
051055328
BLUE SHIELD
AL
01
—
051099101
BLUE SHIELD
AL
01
—
051099102
BLUE SHIELD
AL
01
—
051099104
BLUE SHIELD
AL
01
—
051099105
BLUE SHIELD
AL
01
—
051099106
BLUE SHIELD
AL
05
—
303709301
—
AL
05
—
303719301
—
AL
05
—
303729301
—
AL
05
—
303739301
—
AL
05
—
303749301
—
AL
05
—
303769301
—
AL
05
—
303799301
—
AL
01
—
D074
MEDICARE GROUP NUMBER
AL
01
—
G586
MEDICARE GROUP NUMBER
AL
01
—
G587
MEDICARE GROUP NUMBER
AL
01
—
G588
MEDICARE GROUP NUMBER
AL
01
—
G590
MEDICARE GROUP NUMBER
AL
01
—
G591
MEDICARE GROUP NUMBER
AL
01
—
G592
MEDICARE GROUP NUMBER
AL
Enumeration date
04/06/2006
Last updated
03/02/2011
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