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Provider Information for 1518213867

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CHAKRAPANI NANNAPANENI DDS

Gender: MALE

Individual NPI: 1518213867

Calendar   Last Updated:  2014-08-05
  Certification Date: 

Details

Name Value
NPI 1518213867
Enumeration Date 2012-07-24
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1605 N GARLAND AVE SUITE C
GARLAND, TX 75040-9417
United States

Phone: 972-276-4888 | Fax: 972-276-7888
View Map External Link
Primary Practice Address 1605 N GARLAND AVE SUITE C
GARLAND, TX 75040-9417
United States

Phone: 972-276-4888 | Fax: 972-276-7888
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist TX 29273