Chandra K Puttagunta MD

NPI 1861594525 - Pediatrics - 208000000X

NPI Details
NPI 1861594525
Gender Female
Enumeration Date 09/02/2006
Last Updated 11/20/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1122 N LEROY ST
FENTON MI, 48430-2789, US
Phone (810) 629-8303
Fax (810) 629-3949
Business Location
1122 N LEROY ST
FENTON MI, 48430-2789, US
Phone (810) 629-8303
Fax (810) 629-3949
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301035890
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According to our database, Dr. Chandra K Puttagunta MD NPI is 1861594525, taxonomy code is 208000000X and license number is 4301035890, license state is located at Michigan. Chandra K Puttagunta MD physically located at 1122 N Leroy St, Fenton MI, 48430-2789. NPI Number Chandra K Puttagunta MD has the Individual type.

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1861594525 NPI number is provided on an as is basis without warranty of any kind. 1861594525 is maintained by the National Plan & Provider Enumeration System. The contents of Chandra K Puttagunta MD are for informational purposes only.