Hampole, Chetan Vagesh
Hampole, Chetan Vagesh is an individual health care provider with primary practice located at 1747 Baptist Clay Dr Ste 320 , Fleming Island FL 32003-8503. 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 / Interventional Cardiology is his primary health care specialty. Hampole, Chetan Vagesh can be contacted via phone (904) 224-5185.Contact Information
Primary practice address
1747 Baptist Clay Dr Ste 320
Fleming Island FL 32003-8503
Phone: (904) 224-5185
Fax: (904) 278-7284
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 | 35095464 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 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 | Apr 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659696136 | NPPES |
| Ohio | MEDICAID | 3025372 |
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