Healthcare Provider Details

I. General information

NPI: 1528163680
Provider Name (Legal Business Name): CHETA NAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 01/18/2025
Certification Date: 01/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1446 SPAULDING AVE STE 301
RICHLAND WA
99352-4720
US

IV. Provider business mailing address

15563 PECOTA PL
CALDWELL ID
83607-5150
US

V. Phone/Fax

Practice location:
  • Phone: 509-737-1447
  • Fax: 509-737-1553
Mailing address:
  • Phone: 509-961-3849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberMD00038336
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD00038336
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD00038336
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: