MEDICARE: DR. SUNITA CHAHAR CRITTENDEN 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	207N00000X	Dermatology Physician	32169	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1710198569	OTHER	OK	GROUP NPI

General Provider Information

NPI Number	:	1528200193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNITA CHAHAR CRITTENDEN M.D.

Provider Business Mailing Address
First Line	:	DEPT 96-0317
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73196-0317
Country	:	US
Telephone Number	:	405-521-1969
Fax Number	:	405-521-1979

Provider Business Practice Location Address
First Line	:	13174 N MACARTHUR BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-3017
Country	:	US
Telephone Number	:	405-721-5555
Fax Number	:	405-470-7093

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

Provider Enumeration Date	:	03/29/2009
Last Update Date	:	07/21/2022

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