Doctor Name: | DR. RAJANARENDER REDDY CHOLLETI |
NPI Number: | 1427012913 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., F.A.C.C. |
License Number: | 209133 |
Business Practice Address: | 1161 Sw Wilshire Blvd. Suite 115 Burleson, TX - 760285797 |
Business Phone Number: | 8174264700 |
Business Fax Number: | 8174264737 |
Mailing Address: | 1161 Sw Wilshire Blvd., Suite 115 BURLESON |
State: | TX |
Postal Code: | 760285797 |
Phone Number: | 8174264700 |
Fax Number: | 8174264737 |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 08/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 209133 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |