Chitra Kuthiala MD PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME29708 Issued in FL

Legal business name

CHITRA KUTHIALA MD PA

Practice address

9765 San Jose Blvd
Suite 108
Jacksonville, FL 32257-4402

Phone

(904) 262-9135

Fax

(904) 880-2948

NPI assigned

Jul 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chitra Kuthiala, M.D., PA

Title

President

Phone

(904) 262-9135

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1124283544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9765 SAN JOSE BLVD",
            "address_2": "SUITE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574402",
            "telephone_number": "904-262-9135",
            "fax_number": "904-880-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9765 SAN JOSE BLVD",
            "address_2": "SUITE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574402",
            "telephone_number": "904-262-9135",
            "fax_number": "904-880-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITRA KUTHIALA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "KUTHIALA",
        "authorized_official_first_name": "CHITRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-262-9135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PA"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME29708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "192665",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "192665",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265658200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42736",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2699245",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3464796-01",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "279638",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xzavier Chisholm
• Meghan Leigh Chislett, APRN
• Danielle Allison Chism
• Babu Vereen Chithriki, M.D.
• Radhika Garlapaty Chithriki, M.D.
• Lyndsey Erin Chitty, APRN
• Thomas Tak Chiu, M.D.
• Mohamad Chmayssani, M.D.
• Wendy Marie Chmelar
• Christine Chmielewski, ATC

• Allergy & Immunology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.