Individual
DR. VANDANA CHIVATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
221801-1
NY
207L00000X
Anesthesiology Physician
Primary
MD417856
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018724650001
—
PA
05
—
02188172
—
NY
01
—
050085020
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU616349
MEDICARE GROUP
PA
01
—
P00323959
RR MEDICARE PIN
NY
Enumeration date
02/13/2006
Last updated
03/08/2021
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