Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chetan Immanneni

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376343186

Chetan Immanneni is a Student in an Organized Health Care Education/Training Program in Conroe, Texas. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

925 City Central Ave
Conroe, TX 77304-2981
Phone: (936) 202-5202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376343186
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address925 City Central Ave, Conroe, TX 77304-2981

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