Provider Demographics
NPI:1740982339
Name:CHENNUPATI, SAI (MD)
Entity type:Individual
Prefix:
First Name:SAI
Middle Name:
Last Name:CHENNUPATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SUNNY
Other - Middle Name:
Other - Last Name:CHENNUPATI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5702 MAXON AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1823
Mailing Address - Country:US
Mailing Address - Phone:256-227-7560
Mailing Address - Fax:
Practice Address - Street 1:1161 21ST AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-1538
Practice Address - Country:US
Practice Address - Phone:615-343-2617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program