Individual
NIVEDITA KHARKONGOR CHENGAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(267) 614-5523
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MT234526
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/09/2022
Last updated
02/17/2026
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