Individual
PRITHVIRAJ RAJARAM CHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 N COLLEGE ST, GREENVILLE, AL 36037-2025
(334) 382-1237
(334) 382-1239
Mailing address
300 N COLLEGE ST, GREENVILLE, AL 36037-2025
(334) 382-1237
(334) 382-1239
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01066030A
IN
207X00000X
Orthopaedic Surgery Physician
35.097300
OH
207X00000X
Orthopaedic Surgery Physician
Primary
MD29830
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129162
—
AL
01
—
1871003533
GROUP NPI
—
01
—
511-15632
BLUECROSS/BLUESHIELD
AL
01
—
6461214
CIGNA
AL
Enumeration date
01/30/2006
Last updated
10/19/2017
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