Individual
DR. JAIDEEP CHUNDURI
Active
Individual
DR. JAIDEEP CHUNDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
35-08-2366
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287763
ANTHEM
OH
05
—
200197870
—
IN
05
—
2412222
—
OH
01
—
3207090
AETNA
OH
01
—
409602
WELLCARE
OH
01
—
82366
HUMANA
OH
01
—
P00042913
RAILROAD MEDICARE
OH
Enumeration date
10/24/2005
Last updated
10/02/2012
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