Individual
DR. NAGARAJ M CHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15211 VANOWEN STREET, #209, VAN NUYS, CA 91405
(818) 997-0422
(818) 997-1888
Mailing address
15211 VANOWEN STREET, #209, VAN NUYS, CA 91405
(818) 997-0422
(818) 997-1888
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A36605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A366050
—
CA
05
—
00A366051
—
CA
Enumeration date
08/29/2006
Last updated
09/26/2007
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