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General NPI Number Information
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NPI Number | 1699987172
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Entity Type | Organization
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Legal Business Name | SRIDHAR CHATRATHI MD PC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 7500 HANOVER PARKWAY SUITE 105-A
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City | GREENBELT
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State | MD
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Zip | 20770
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Country | US
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Telephone | 301-220-2220
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Fax | 301-220-2224
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Provider Business Mailing Address
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Address Line | 7500 HANOVER PARKWAY SUITE 105-A
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City | GREENBELT
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State | MD
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Zip | 20770
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Country | US
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Telephone | 301-220-2220
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Fax | 301-220-2224
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | SRIDHAR CHATRATHI
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Credential | M.D.
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Telephone | 301-220-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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