Provider Demographics
NPI:1376998336
Name:CHIMANJI, NEERAJ SATYAPRAKASH (MD)
Entity Type:Individual
Prefix:
First Name:NEERAJ
Middle Name:SATYAPRAKASH
Last Name:CHIMANJI
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 1:273 LEONARD ST
Mailing Address - Street 2:APT 1B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-3604
Mailing Address - Country:US
Mailing Address - Phone:937-776-3977
Mailing Address - Fax:
Practice Address - Street 1:273 LEONARD ST
Practice Address - Street 2:APT 1B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-3604
Practice Address - Country:US
Practice Address - Phone:937-776-3977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01081619A207P00000X
MO2019020166207P00000X
IL036148281207P00000X
OH35.134202207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine