Organization
CHETTY, NAGARAJ M. M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA SILVA (MEDICAL BILLER)
(818) 367-1012
Entity
Organization
Contact information
Practice address
14124 FOOTHILL BLVD, SYLMAR, CA 91342
(818) 367-1012
(818) 364-2909
Mailing address
14124 FOOTHILL BLVD, SYLMAR, CA 91342
(818) 367-1012
(818) 364-2909
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A36605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A366051
—
CA
Enumeration date
05/03/2007
Last updated
08/22/2020
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