Individual
DR. CHAITANYA MUDGAL
Active
Individual
DR. CHAITANYA MUDGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
153170
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2086492
—
MA
01
—
750226
TUFTS HEALTH PLAN
MA
01
—
J22899
BCBS MA
MA
Enumeration date
11/09/2005
Last updated
08/31/2012
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