MEDICARE: JITEN DUNGARANI PT

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
1	225100000X	Physical Therapist	035695	NY

General Provider Information

NPI Number	:	1295190536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JITEN DUNGARANI PT

Provider Business Mailing Address
First Line	:	3505 E BART ST
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-3487
Country	:	US
Telephone Number	:	480-703-5680
Fax Number	:

Provider Business Practice Location Address
First Line	:	1807 E QUEEN CREEK RD STE 7
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85286-2023
Country	:	US
Telephone Number	:	602-666-6602
Fax Number	:	602-666-6167

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2015
Last Update Date	:	06/14/2022

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Directions to “ JITEN DUNGARANI PT” Practice Location

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