Channan, Gitanjli

Channan, Gitanjli is an individual health care provider with primary practice located at 4631 Ridge Ave Ste. B, Cincinnati OH 45209-1028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Channan, Gitanjli can be contacted via phone (513) 631-1268.

Contact Information

Primary practice address
4631 Ridge Ave Ste. B Cincinnati OH 45209-1028
Phone: (513) 631-1268
Fax: (513) 366-4121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35070585 Ohio

Profile Details

NPI number 1336146570
LBN Legal business name Channan, Gitanjli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Oct 27th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336146570 NPPES
Ohio Other P00856774 MEDICARE RR
Ohio MEDICAID 2032919 MEDICARE RR

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