Individual
ALEXIS R CHETTIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2905 TELEGRAPH AVE, BERKELEY, CA 94705-2017
(510) 841-4525
(510) 204-9086
Mailing address
2905 TELEGRAPH AVE, BERKELEY, CA 94705-2017
(510) 841-4525
(510) 204-9086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 18561
CA
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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