Individual
DR. CHANDRASEKHARA. RAO PUNUKOLLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 S CHURCH ST STE 100, MOUNT PLEASANT, PA 15666-1702
(724) 547-7212
(724) 547-7278
Mailing address
508 S CHURCH ST STE 100, MT PLEASANT, PA 15666-1702
(724) 547-7212
(724) 547-7278
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD041732L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012140750004
—
PA
05
—
0012140750009
—
PA
Enumeration date
08/23/2006
Last updated
02/07/2025
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