Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 4630T1383 | OH |
NPI | 1003011040 |
---|---|
Provider Name | Archana Rani Chitkara |
First Address | Columbus, OH 43228-9151 |
Second Address | Hilliard, OH 43026-7287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 22/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U58024 | (02) | OH |