Individual
DR. JAYANT G. CHIVATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-6724
(570) 887-6728
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
219730-1
NY
208600000X
Surgery Physician
Primary
MD417341
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018603750001
—
PA
01
—
020050347
RR MEDICARE PIN
PA
05
—
02131395
—
NY
05
—
670372
—
AZ
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039890
MEDICARE GROUP
PA
Enumeration date
02/13/2006
Last updated
03/08/2021
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