Organization
CHANNAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GITANJLI CHANNAN MD (OWNER/PHYSICIAN)
(513) 316-7639
Entity
Organization
Contact information
Practice address
660 GLADES RD STE 140, BOCA RATON, FL 33431-6466
(561) 447-7737
(561) 447-9022
Mailing address
660 GLADES RD STE 140, BOCA RATON, FL 33431-6466
(561) 447-7737
(561) 447-9022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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