Individual
DR. WINIT CHARTISATHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
73 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9604
(270) 789-1112
(270) 789-3157
Mailing address
73 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9604
(270) 789-1112
(270) 789-3157
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
21307
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6421307700
—
KY
Enumeration date
11/22/2006
Last updated
07/08/2007
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