Gujrathi, Chetan S.

Gujrathi, Chetan S. is an sole proprietor health care provider with primary practice located at 4530 E Shea Blvd Ste 180 , Phoenix AZ 85028-6042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gujrathi, Chetan S. can be contacted via phone (602) 264-4834.

Contact Information

Primary practice address
4530 E Shea Blvd Ste 180 Phoenix AZ 85028-6042
Fax: (602) 254-5178
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 33545 Arizona

Profile Details

NPI number 1669442141
LBN Legal business name Gujrathi, Chetan S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Mar 23rd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669442141 NPPES
Arizona MEDICAID 799702
Arizona MEDICAID 958978
Arizona Other AZ153810

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