Provider Demographics
NPI:1851610521
Name:CHEEMALAPATI, SAI KRISHNA (MBBS)
Entity Type:Individual
Prefix:
First Name:SAI
Middle Name:KRISHNA
Last Name:CHEEMALAPATI
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS ST BRIGHAM & WOMEN'S HOSPITAL
Mailing Address - Street 2:DEPT OF CARDIOTHORACIC SURGERY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-6569
Mailing Address - Fax:617-732-6559
Practice Address - Street 1:75 FRANCIS ST BRIGHAM & WOMEN'S HOSPITAL
Practice Address - Street 2:DEPT OF CARDIOTHORACIC SURGERY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-6569
Practice Address - Fax:617-732-6559
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA245689390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program