MEDICARE: DR. CHITRA R CHARI 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
1	2084N0400X	Neurology Physician	M.D 10808	DC
2	2084N0400X	Neurology Physician	D0027662	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	41187101	OTHER	MD	BCBS MD

General Provider Information

NPI Number	:	1831259902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHITRA R CHARI M.D

Provider Business Mailing Address
First Line	:	7606 WESTFIELD DR
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-6630
Country	:	US
Telephone Number	:	301-801-7159
Fax Number	:	301-681-7734

Provider Business Practice Location Address
First Line	:	11217 LOCKWOOD DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4550
Country	:	US
Telephone Number	:	301-681-5350
Fax Number	:	301-681-7734

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	05/14/2008

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