Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHAITANYA VIJAY BRUNDAVANAM, MD
ActiveDR. CHAITANYA VIJAY BRUNDAVANAM, MD is a Family Medicine healthcare provider located in IRON MOUNTAIN, Michigan. NPI 1669699211 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · IRON MOUNTAIN, MI
Registration Details
- NPI Number
- 1669699211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2007 (19.315184168556 yrs)
- Last Updated
- Oct 4, 2023
- Licenses
-
4301088796 (MI)4301088796 (MI)
Practice Information
- Address
-
1721 S STEPHENSON AVEIRON MOUNTAIN, MI, 498013637Browse MI providers · Browse ZIP 49801
- Phone
- 9067765316
- Fax
- 9067765761
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in IRON MOUNTAIN, MI
| Name | Credential | NPI |
|---|---|---|
| ALEXANDER SHELTON JUDY | MD | 1730189663 |
| JOHN RAY GROENEVELD | MD | 1467452391 |
| TERENCE D RYAN | MD | 1639179567 |
| DR. DANIEL M MITCHELL | M.D. | 1265434849 |
| DR. BETH ANN SCHROEDER | M.D. | 1184616013 |
| MS. KAROL J HENDRICKSON | DO | 1902890940 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.