Provider Demographics
NPI:1568696870
Name:CHITTINENI, HARINI (MD)
Entity Type:Individual
Prefix:DR
First Name:HARINI
Middle Name:
Last Name:CHITTINENI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 MULKEY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1132
Mailing Address - Country:US
Mailing Address - Phone:770-732-8464
Mailing Address - Fax:770-732-8462
Practice Address - Street 1:1810 MULKEY RD
Practice Address - Street 2:#103
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1151
Practice Address - Country:US
Practice Address - Phone:770-732-8464
Practice Address - Fax:770-732-8462
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA62958207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology