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NPI Code Detail

MEDICARE: PRITHVIRAJ RAJARAM CHAVAN M.D.

MEDICARE: PRITHVIRAJ RAJARAM CHAVAN M.D.
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
1207X00000XOrthopaedic Surgery Physician01066030AIN
2207X00000XOrthopaedic Surgery Physician35.097300OH
3207X00000XOrthopaedic Surgery PhysicianMD29830AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1511-15632OTHERALBLUECROSS/BLUESHIELD
26461214OTHERALCIGNA
31871003533OTHERGROUP NPI
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245201151
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRITHVIRAJ RAJARAM CHAVAN M.D.
Provider Business Mailing Address
First Line : 300 N COLLEGE ST
Second Line :
City : GREENVILLE
State : AL
Zip : 36037-2025
Country : US
Telephone Number : 334-382-1237
Fax Number : 334-382-1239
Provider Business Practice Location Address
First Line : 300 N COLLEGE ST
Second Line :
City : GREENVILLE
State : AL
Zip : 36037-2025
Country : US
Telephone Number : 334-382-1237
Fax Number : 334-382-1239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 10/19/2017

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