Individual
JOEL RAJAN CHITTAZHATTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
OU MEDICAL CENTER, 700 NE 13TH STREET, OKLAHOMA CITY, OK 73104
(405) 271-4700
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5590
(304) 388-8238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8215
OK
390200000X
Student in an Organized Health Care Education/Training Program
BP10066980
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
05/29/2019
Last updated
03/15/2024
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