Healthcare Provider Details

I. General information

NPI: 1992324024
Provider Name (Legal Business Name): PRANITHA CHEKKA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 WELLNESS WAY
FINDLAY OH
45840-9547
US

IV. Provider business mailing address

3411 WELLNESS WAY
FINDLAY OH
45840-9547
US

V. Phone/Fax

Practice location:
  • Phone: 419-429-7901
  • Fax:
Mailing address:
  • Phone: 419-429-7901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number34.018863
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number7977
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTL0010543
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: