Provider Demographics
NPI:1578678207
Name:CHIRANAND, PINIT (MD)
Entity Type:Individual
Prefix:DR
First Name:PINIT
Middle Name:
Last Name:CHIRANAND
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 1:4676 W 82ND ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-3006
Mailing Address - Country:US
Mailing Address - Phone:773-255-8149
Mailing Address - Fax:
Practice Address - Street 1:6853 S HALSTED ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60621-1868
Practice Address - Country:US
Practice Address - Phone:773-783-4700
Practice Address - Fax:773-783-9544
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2016-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036050748207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036050748Medicaid
IL036050748Medicaid