Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0116028548 | VA |
N | 111NI0900X | Internist | 0116028548 | VA |
Y | 207R00000X | Internist | OS019362 | PA |
Y | 111NI0900X | Internist | OS019362 | PA |
NPI | 1003298118 |
---|---|
Provider Name | Dr. Nikhil Chinmaya |
First Address | Phoenixville, PA 19460-3906 |
Second Address | Ridley Park, PA 19078 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2015 |
Last Update Date | 23/10/2020 |