Individual
CHETAN KUMAR NANJEGOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1611 NW 12 AVENUE, MIAMI, FL 33136
(305) 585-6042
(305) 545-6018
Mailing address
1611 NW 12 AVENUE, MIAMI, FL 33136
(305) 585-6042
(305) 545-6018
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
11/26/2018
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