Individual
DR. CHETAN JIWAN WASEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 S CLIFF AVE, SUITE 4421, SIOUX FALLS, SD 57105-1007
(605) 322-7645
(605) 322-8414
Mailing address
1213 W MURPHY DR, SIOUX FALLS, SD 57108-3216
(573) 529-6612
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
8068
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006843
—
SD
01
—
P01099186
RR MEDICARE
—
Enumeration date
05/21/2008
Last updated
12/31/2012
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