Hampole, Chetan Vagesh
Hampole, Chetan Vagesh is an individual health care provider with primary practice located at 2310 Village Square Pkwy Ste 204 , Fleming Island FL 32003-6409. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hampole, Chetan Vagesh can be contacted via phone (904) 224-5185.Contact Information
Primary practice address
2310 Village Square Pkwy Ste 204
Fleming Island FL 32003-6409
Phone: (904) 224-5185
Fax: (904) 376-3202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125-051072 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-095464 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME142908 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35-095464 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME142908 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 35095464 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME142908 | Florida |
Profile Details
| NPI number | 1659696136 |
|---|---|
| LBN Legal business name | Hampole, Chetan Vagesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2010 |
| Last updated | Jan 24th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659696136 | NPPES |
| Ohio | MEDICAID | 3025372 | |
| Ohio | MEDICAID | 105563400 |
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