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Individual

PRASANNA CHINTHALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
3557 CORSHAM CIR, CARMEL, IN 46032-8211
(317) 281-6586
Mailing address
3557 CORSHAM CIR, CARMEL, IN 46032-8211
(317) 281-6586
(800) 243-8260

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01063241A
IN
2084P0800X
Psychiatry Physician
4301085676
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20880700A
IN
Enumeration date
08/25/2006
Last updated
09/24/2018
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