NPI 1194321901
Pavan Chanamolu
Practice location
- Address
- 1280 E Campus Dr, Mount Pleasant, MI 48859-4484
- Phone
- (989) 774-2478
- Mailing address
- 1730 Somerset Dr, Mount Pleasant, MI 48858-4484
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1194321901
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Dec 2020
- Record last updated
- 7 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.