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Individual

DR. RISHIKESH S CHAVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 E CAROLINE ST STE E, SAN BERNARDINO, CA 92408-3758
(909) 651-1910
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C141227
CA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
C141227
CA

Other

Enumeration date
04/01/2008
Last updated
08/23/2019
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