| Veerabhadra Chirravuri Pllc | |
|
315 Cool Water Ct Hopkinsville KY 42240-8738 | |
| (270) 887-0700 | |
| (270) 885-3776 |
| Full Name | Veerabhadra Chirravuri Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 315 Cool Water Ct, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Veerabhadra Chirravuri (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 2708870700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Veerabhadra Chirravuri Pllc Po Box 1086 Hopkinsville KY 42241-1086 Ph: (270) 887-0700 | Veerabhadra Chirravuri Pllc 315 Cool Water Ct Hopkinsville KY 42240-8738 Ph: (270) 887-0700 |
| NPI Number | 1184865552 |
|---|---|
| Provider Enumeration Date | 03/16/2009 |
| Last Update Date | 05/04/2009 |
| Medicare PECOS PAC ID | 8820145261 |
|---|---|
| Medicare Enrollment ID | O20090422000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184865552 | NPI | - | NPPES |
| 00958 | Other | KY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35171 (Kentucky) | Primary |
| Provider Name | Veerabhadra R Chirravuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578538427 PECOS PAC ID: 1658428099 Enrollment ID: I20090422000083 |
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