Individual
SUBBA RAO CHENUMOLU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
(256) 539-9472
Mailing address
2006 FRANKLIN ST SE, STE 301, HUNTSVILLE, AL 35801-4551
(256) 539-9471
(256) 539-9472
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00009534
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4039099
BCBS OF TENN
TN
01
—
51024031
BCBS AL
AL
Enumeration date
01/13/2006
Last updated
07/08/2007
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