| Chalasani Md Inc. | |
|
1300 Greenville Rd. St. Marys OH 45885 | |
| (419) 394-4813 | |
| (419) 394-1546 |
| Full Name | Chalasani Md Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 Greenville Rd., St. Marys, Ohio |
| Authorized Official Name and Position | Padmaja Chalasani (MD/OWNER) |
| Authorized Official Contact | 4193944813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chalasani Md Inc. Po Box 719 1300 Greenville Rd. St. Marys OH 45885 Ph: (419) 394-4813 | Chalasani Md Inc. 1300 Greenville Rd. St. Marys OH 45885 Ph: (419) 394-4813 |
| NPI Number | 1487664306 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487664306 | NPI | - | NPPES |
| 20049876 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |