Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35056393C | OH |
N | 2080A0000X | Adolescent Medicine | 35056393C | OH |
NPI | 1033182373 |
---|---|
Provider Name | Dr. Vijay K. Chitkara |
First Address | Springfield, OH 45503-1179 |
Second Address | Springfield, OH 45503-1179 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0691096 | (05) | OH |