Individual
AHISH CHITNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(408) 329-0805
Mailing address
834 W REMINGTON DR, SUNNYVALE, CA 94087-2243
(408) 329-0805
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12345
NY
Other
Enumeration date
04/05/2021
Last updated
05/04/2022
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