Active NPI
Chitra Kuthiala MD PA
- Allergy & Immunology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- ME29708
- 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
- Last updated
- Jul 24, 2008
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME29708 | FL | Primary |
Addresses
Primary practice location
9765 San Jose Blvd
Suite 108
Jacksonville, FL 32257-4402
Mailing address
9765 San Jose Blvd
Suite 108
Jacksonville, FL 32257-4402
Phone (904) 262-9135
National Provider Directory
National Provider DirectoryLocations
9765 San Jose Blvd
Ste 108
Jacksonville, FL 32257
Phone (904) 262-9135
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Allergy & Immunology Physician
- Jacksonville, FL
- NPI 1700898434
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- 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.