Mohapatra, Chitta R
Mohapatra, Chitta R is an individual health care provider with primary practice located at 30 Harrison St Ste 250, Johnson City NY 13790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mohapatra, Chitta R can be contacted via phone (607) 770-8600.Contact Information
Primary practice address
30 Harrison St Ste 250
Johnson City NY 13790
Phone: (607) 770-8600
Fax: (607) 770-0853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 119520 | New York |
Profile Details
| NPI number | 1194765867 |
|---|---|
| LBN Legal business name | Mohapatra, Chitta R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Feb 8th, 2011 - about 15 years ago |
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 | 1194765867 | NPPES |
| New York | MEDICAID | 00331122 |
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