Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A98688 | CA |
NPI | 1316040678 |
---|---|
Provider Name | Dr. Shubhangi Chitnis |
First Address | Sacramento, CA 95865-5225 |
Second Address | Sacramento, CA 95816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 12/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3810006097 | (05) | CA |
B31027 | (02) | CA |