Individual
CHETAN SATEESH NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101280943
VA
2084N0400X
Neurology Physician
2017021689
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017022152
BOARD OF HEALING ARTS
MO
Enumeration date
06/28/2017
Last updated
05/10/2024
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