Provider Demographics
NPI:1487782355
Name:ANANTHAKRISHNAN, CHITTUR VISWANATHAN (MD)
Entity type:Individual
Prefix:
First Name:CHITTUR
Middle Name:VISWANATHAN
Last Name:ANANTHAKRISHNAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 ADLERSPOINT LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5497
Mailing Address - Country:US
Mailing Address - Phone:281-239-2062
Mailing Address - Fax:
Practice Address - Street 1:2714 ADLERSPOINT LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5497
Practice Address - Country:US
Practice Address - Phone:281-239-2062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6709207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery