Individual
CHAITANYA R DIVGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
722 W 168TH ST, R-114, NEW YORK, NY 10032-3727
(212) 305-5521
(212) 304-5277
Mailing address
722 W 168TH ST, R-114, NEW YORK, NY 10032-3727
(212) 305-5521
(212) 304-5277
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
185493
NY
Other
Enumeration date
12/29/2005
Last updated
12/29/2011
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