Kodery, Chitra
Kodery, Chitra is an individual health care provider with primary practice located at 230 E Ridgewood Ave , Paramus NJ 07652. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kodery, Chitra can be contacted via phone (201) 967-4000.Contact Information
Primary practice address
230 E Ridgewood Ave
Paramus NJ 07652
Phone: (201) 967-4000
Fax: (201) 967-4117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS018504 | Pennsylvania |
Profile Details
| NPI number | 1538422993 |
|---|---|
| LBN Legal business name | Kodery, Chitra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2012 |
| Last updated | Oct 11th, 2018 - about 7 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 | 1538422993 | NPPES |
| New Jersey | MEDICAID | 0638951 |
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