Individual
CHETAN P MAINGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4556 40TH AVENUE SOUTH, SUITE 130, FARGO, ND 58104
(701) 234-8860
(701) 234-8924
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01052439A
IN
207N00000X
Dermatology Physician
Primary
10395
ND
207N00000X
Dermatology Physician
36007
AZ
Other
Enumeration date
09/20/2006
Last updated
02/22/2023
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