Provider Demographics
NPI:1639482755
Name:MALEMPATI, CHAITANYA SREE (DO)
Entity Type:Individual
Prefix:
First Name:CHAITANYA
Middle Name:SREE
Last Name:MALEMPATI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:825 2ND AVE STE C2
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-1791
Mailing Address - Country:US
Mailing Address - Phone:270-780-2750
Mailing Address - Fax:270-780-2755
Practice Address - Street 1:825 2ND AVE STE C2
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1791
Practice Address - Country:US
Practice Address - Phone:270-780-2750
Practice Address - Fax:270-780-2755
Is Sole Proprietor?:No
Enumeration Date:2010-07-18
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY03849207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine