Individual
REBECCA CHETTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 ELDORADO BLVD UNIT 341, BROOMFIELD, CO 80021-3689
(612) 900-8718
Mailing address
355 ELDORADO BLVD UNIT 341, BROOMFIELD, CO 80021-3689
(612) 900-8718
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
28124
NV
2085R0202X
Diagnostic Radiology Physician
Primary
64751
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q072768
—
TN
Enumeration date
05/01/2016
Last updated
08/22/2025
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