Individual
DR. JOHNNY CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
8929
RI
208000000X
Pediatrics Physician
Primary
MD08929
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1201179
UNITED HEALTH PLAN
—
01
—
204491
CHCP BLUE CHIP
RI
01
—
204693
BCBS
RI
01
—
3859
NEIGHBORHOOD HEALTH PLAN
RI
01
—
582062
AETNA INS
—
01
—
8929
STATE LICENSE
RI
01
—
AA41503
HARVARD PILGRIM INS
—
05
—
JC32094
—
RI
Enumeration date
12/21/2005
Last updated
04/29/2014
Update your record
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