Individual
GOVIND DATTA CHAMARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
(484) 622-0959
Mailing address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT220643
PA
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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