Individual
CHETNA N PUROHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 597-6363
Mailing address
2562 REDWOOD WAY, CLEARWATER, FL 33761-3914
(727) 580-9426
(727) 725-8659
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME 103942
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2008
Last updated
07/22/2010
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