Individual
DR. CHAITANYA H YAJNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 PALM COAST PARKWAY, PALM COAST, FL 32137-3886
(386) 676-7130
(386) 676-7125
Mailing address
P.O. BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7130
(386) 676-7125
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
19984
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082984000
—
WV
05
—
64199847
—
KY
Enumeration date
06/27/2005
Last updated
10/20/2010
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