Individual
DR. CHETAN BETTEGOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
600 N WOLFE ST, PHIPPS 116, BALTIMORE, MD 21287-0005
(410) 955-8620
Mailing address
PO BOX 64286, BALTIMORE, MD 21264-4686
(410) 955-6406
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D74560
MD
207T00000X
Neurological Surgery Physician
P19991
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055906700
—
MD
Enumeration date
01/18/2007
Last updated
05/27/2020
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