Healthcare Provider Details

I. General information

NPI: 1659336337
Provider Name (Legal Business Name): VINAY KUMAR CHITKARA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 03/24/2023
Certification Date: 02/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 E HIGH ST
LONDON OH
43140-1229
US

IV. Provider business mailing address

136 E HIGH ST
LONDON OH
43140-1229
US

V. Phone/Fax

Practice location:
  • Phone: 740-845-0000
  • Fax: 740-845-0100
Mailing address:
  • Phone: 614-627-2000
  • Fax: 614-627-2405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number35061554C
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35061554
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: