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1851353403

NPI Code Detail

MEDICARE: DR. CHANDRA P HARITHA M.D.

MEDICARE: DR. CHANDRA P HARITHA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	00018045	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	G588	OTHER	AL	MEDICARE GROUP NUMBER
7	G586	OTHER	AL	MEDICARE GROUP NUMBER
14	D074	OTHER	AL	MEDICARE GROUP NUMBER
15	G590	OTHER	AL	MEDICARE GROUP NUMBER
16	G591	OTHER	AL	MEDICARE GROUP NUMBER
17	G592	OTHER	AL	MEDICARE GROUP NUMBER
19	G587	OTHER	AL	MEDICARE GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051099102	OTHER	AL	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	051099106	OTHER	AL	BLUE SHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	051099101	OTHER	AL	BLUE SHIELD
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	051099104	OTHER	AL	BLUE SHIELD
11	051099105	OTHER	AL	BLUE SHIELD
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	051055328	OTHER	AL	BLUE SHIELD
20	051028060	OTHER	AL	BLUE SHIELD
21	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851353403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHANDRA P HARITHA M.D.

Provider Business Mailing Address
First Line	:	2201 ARLINGTON AVE
Second Line	:
City	:	BESSEMER
State	:	AL
Zip	:	35020-4221
Country	:	US
Telephone Number	:	205-424-6001
Fax Number	:	205-497-9369

Provider Business Practice Location Address
First Line	:	2201 ARLINGTON AVE
Second Line	:
City	:	BESSEMER
State	:	AL
Zip	:	35020-4221
Country	:	US
Telephone Number	:	205-424-6001
Fax Number	:	205-497-9369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	03/02/2011

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Directions to “ DR. CHANDRA P HARITHA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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