Individual
PRANEETHA CHAGANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601
(206) 601-8505
Mailing address
311 FOREST DR S, SHORT HILLS, NJ 07078-2310
(206) 601-8505
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25MA10640400
NJ
Other
Enumeration date
04/14/2015
Last updated
07/11/2019
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