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NPI Code Detail

MEDICARE: DR. SHARAD CHITALIA D.D.S.

MEDICARE: DR. SHARAD CHITALIA D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry3559TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14704OTHERTNDORAL DENTAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033321559
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARAD CHITALIA D.D.S.
Provider Business Mailing Address
First Line : 845 S. HIGHLAND ST
Second Line :
City : MEMPHIS
State : TN
Zip : 38111-4254
Country : US
Telephone Number : 901-323-8488
Fax Number : 901-323-8489
Provider Business Practice Location Address
First Line : 845 S. HIGHLAND ST
Second Line :
City : MEMPHIS
State : TN
Zip : 38111-4254
Country : US
Telephone Number : 901-323-8488
Fax Number : 901-323-8489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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