Active NPI 1861594525 Individual Practitioner Female Practitioner

Dr. Chandra K Puttagunta , MD

Pediatrics • Fenton, MI

Professional Overview & Biography Verified Profile Summary

Dr. Chandra Puttagunta, MD is a registered healthcare professional specializing in Pediatrics in Fenton, MI. Practice services are available at 1122 N LEROY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1122 N Leroy St

Fenton, MI 484302789

Telephone 8106298303

Fax 8106293949

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fenton, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Fenton, MI (2263 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301035890

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3235851 (MI)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 20, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2011

Registered at 1122 N LEROY ST, FENTON, MI 484302789 (Tel: 8106298303)

📍

Updated Business Mailing Address November 20, 2011

Registered at 1122 N LEROY ST, FENTON, MI 484302789 (Tel: 8106298303)

👤

Provider Name / Credentials Updated November 20, 2011

Recorded as CHANDRA PUTTAGUNTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2011

Pediatrics (License #4301035890 in MI)

🟢

Initial NPI Registration & Enumeration September 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861594525

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 02, 2006

Last Update: November 20, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1122 N Leroy St

Fenton, MI 484302789

Phone: 8106298303

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.