Provider Demographics
NPI:1659651552
Name:BONDA, CHAITANYA GOUD (MD, MBBS)
Entity Type:Individual
Prefix:DR
First Name:CHAITANYA
Middle Name:GOUD
Last Name:BONDA
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Gender:M
Credentials:MD, MBBS
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Mailing Address - Street 1:5375 COIT RD
Mailing Address - Street 2:STE 130
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4914
Mailing Address - Country:US
Mailing Address - Phone:479-553-3310
Mailing Address - Fax:479-553-1947
Practice Address - Street 1:2900 MEDICAL CENTER PKWY
Practice Address - Street 2:STE 310
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3204
Practice Address - Country:US
Practice Address - Phone:479-553-3310
Practice Address - Fax:479-553-1947
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2020-12-10
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Provider Licenses
StateLicense IDTaxonomies
TXS84212084N0008X
ARE-95812084N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine