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General NPI Number Information
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NPI Number | 1417960634
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Entity Type | Individual
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Provider Name | KRISHNAVEL V CHATHADI MD
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 5300 ELLIOTT DR
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City | YPSILANTI
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State | MI
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Zip | 48197-8632
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Country | US
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Telephone | 734-434-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 670 MASON RIDGE CENTER DR STE 300
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8573
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Country | US
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Telephone | 314-996-7644
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Fax | 314-996-7658
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 42387
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4301072422
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License Number State | MI
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