Individual
ANNAPURNESWARA RAO CHIMPIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HSC L4 RM 120, STONY BROOK, NY 11794-8460
(631) 444-5400
(631) 444-7538
Mailing address
HSC LEVEL 4 RM 120, STONY BROOK, NY 11794-8460
(631) 444-5400
(631) 444-7538
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
066768
GA
2085R0202X
Diagnostic Radiology Physician
25131
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132709A
—
GA
05
—
003132709B
—
GA
01
—
52601605 001
BCBSGA
GA
01
—
52601605 002
BCBSGA
GA
01
—
P01171167
RAILROAD MEDICARE
GA
Enumeration date
09/01/2006
Last updated
06/06/2014
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