Individual
RAM KHATTRI CHETTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, MS, MATS, RN
Contact information
Practice address
1855 S MAIN STREET, SUITE A, HEART & VASCULAR CENTER, GOSHEN, IN 46526-4723
(574) 533-7476
(574) 538-5147
Mailing address
1855 S MAIN STREET, SUITE A, HEART & VASCULAR CENTER, GOSHEN, IN 46526-4723
(574) 533-7476
(574) 538-5147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28166834A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200959670
—
IN
Enumeration date
10/05/2009
Last updated
04/21/2023
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