Basic Information
| Provider Information | |||||||||
| NPI: | 1891851812 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHENNUPATI | ||||||||
| FirstName: | SRI | ||||||||
| MiddleName: | KIRAN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 783311 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191783311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848844500 | ||||||||
| FaxNumber: | 4848840699 | ||||||||
| Practice Location | |||||||||
| Address1: | 1210 S CEDAR CREST BLVD | ||||||||
| Address2: | SUITE 1100 | ||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181036229 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6104027999 | ||||||||
| FaxNumber: | 6104027995 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2006 | ||||||||
| LastUpdateDate: | 02/26/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | MT184710 | PA | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | MD431213 | PA | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207YP0228X | 25MA08862500 | NJ | N | Allopathic & Osteopathic Physicians | Otolaryngology | Pediatric Otolaryngology | 207YP0228X | MD431213 | PA | Y | Allopathic & Osteopathic Physicians | Otolaryngology | Pediatric Otolaryngology |
No ID Information.