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NPI Code Detail

MEDICARE: OJAS CHINCHWADKAR MD

MEDICARE:   OJAS  CHINCHWADKAR  MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1922940543
Entity Type Code : Individual
Provider Name (Legal Business Name) : OJAS CHINCHWADKAR MD
Provider Business Mailing Address
First Line : 36947 REYNOLDS DR
Second Line :
City : FREMONT
State : CA
Zip : 94536-2510
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND
Second Line :
City : PORTLAND
State : OR
Zip : 97210
Country : US
Telephone Number : 503-413-7711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ OJAS CHINCHWADKAR MD” Practice Location

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