Individual
DR. CHAKRADHAR PENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, BS
Contact information
Practice address
9961 SIERRA AVE, MOB 2 - PHYSICAL MEDICINE, FONTANA, CA 92335-6720
(909) 427-3945
(909) 427-5282
Mailing address
9961 SIERRA AVE, MOB 2 - PHYSICAL MEDICINE, FONTANA, CA 92335-6720
(909) 427-3945
(909) 427-5282
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A98881
CA
Other
Enumeration date
05/16/2007
Last updated
11/29/2021
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