Organization
NOVA PEDIATRICS AND ADOLESCENT MEDICINE, INC
Active
Organization
NOVA PEDIATRICS AND ADOLESCENT MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY KUMAR CHITKARA M.D. (PHYSICIAN)
(937) 399-7221
Entity
Organization
Contact information
Practice address
218 NORTHPARKE DRIVE, SUITE B, SPRINGFIELD, OH 45503-1179
(937) 399-7221
Mailing address
218 NORTHPARKE DR STE B, SPRINGFIELD, OH 45503-1179
(937) 399-7221
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35056393C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0691096
—
OH
Enumeration date
10/23/2006
Last updated
08/22/2020
Update your record
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