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Individual

MITRA JAVANDEL CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
39180 FARWELL DR STE 110, FREMONT, CA 94538-1015
(510) 739-6520
Mailing address
39180 FARWELL DR STE 110, FREMONT, CA 94538-1015

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A136909
CA
207X00000X
Orthopaedic Surgery Physician
MT196864
PA

Other

Enumeration date
06/22/2010
Last updated
07/28/2023
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