Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 106201 | MN |
N | 207RH0000X | Hematologist | 55578 | MN |
Y | 207RX0202X | Medical Oncology | 55578 | MN |
NPI | 1356584262 |
---|---|
Provider Name | Ashish V Chintakuntlawar |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2009 |
Last Update Date | 12/08/2020 |