Provider Demographics
NPI:1568102408
Name:CHITALKAR, SACHIN B
Entity Type:Individual
Prefix:
First Name:SACHIN
Middle Name:B
Last Name:CHITALKAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SR NO 72/1B/12 SAMARTH NAGAR
Mailing Address - Street 2:NEW SANGVI
Mailing Address - City:PUNE
Mailing Address - State:MAHARASHTRA
Mailing Address - Zip Code:411027
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:GW HOSPITAL, 900 23RD STREET, NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:901-108-4301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNA2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology