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Individual

DR. ANIL MATHEW CHENTHITTA

Active
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Individual

DR. ANIL MATHEW CHENTHITTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101252929
VA
208VP0014X
Interventional Pain Medicine Physician
ME128763
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101252929
LICENSE NO
VA
05
—
1275769168
—
VA
01
—
P01159671
RR MEDICARE
VA
Enumeration date
06/05/2009
Last updated
03/24/2020
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