Chandra S Gottipati, MBBS
Family Medicine in Thief River Falls, MN. Individual provider (NPI-1).
NPI number1770635682
StatusActive
Last updated in NPPESJan 19, 2012
Details
- NPI
- 1770635682
- Entity type
- Individual (NPI-1)
- Name
- Chandra S Gottipati
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2007
- Last updated
- Jan 19, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 48897 | MN | Yes |
Practice location
1720 Highway 59 SThief River Falls, MN 56701-4331
Phone 218-681-4747
Mailing address
1720 Highway 59 SThief River Falls, MN 56701-4331
Phone 218-683-4600 · Fax 218-681-8487
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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