Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 0101255010 | VA |
NPI | 1033438544 |
---|---|
Provider Name | Ravi Chhatrala |
First Address | Newport News, VA 23606-2565 |
Second Address | Newport News, VA 23606-2565 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 07/02/2019 |