Individual
OM CHITNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-8040
Mailing address
5405 TUCKERMAN LN APT 782, ROCKVILLE, MD 20852-7331
(808) 799-7875
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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