Individual
DR. JOHNNY CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 AIRPORT RD, WARWICK, RI 02889-1031
(401) 737-4282
(401) 738-6896
Mailing address
161 AIRPORT RD, WARWICK, RI 02889-1031
(401) 737-4282
(401) 738-6896
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
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