Individual
DR. KAVITHA CHAGANUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
104 W 5TH AVE, SUITE 200W, SPOKANE, WA 99204-4880
(509) 744-3750
(509) 744-3969
Mailing address
104 W 5TH AVE, SUITE 200W, SPOKANE, WA 99204-4880
(509) 744-3750
(509) 744-3969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60264797
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/01/2008
Last updated
08/27/2012
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