Provider Demographics
NPI:1235191016
Name:HALDIPUR, CHAITANYA V (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAITANYA
Middle Name:V
Last Name:HALDIPUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 SCOTTHOLM BLVD
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1732
Mailing Address - Country:US
Mailing Address - Phone:315-464-3116
Mailing Address - Fax:315-464-3163
Practice Address - Street 1:800 IRVING AVE
Practice Address - Street 2:VA MEDICAL CENTER;
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2716
Practice Address - Country:US
Practice Address - Phone:315-425-4400
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129992-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry