Provider Demographics
NPI:1801829809
Name:CHEGAR, BURKE E (MD)
Entity Type:Individual
Prefix:
First Name:BURKE
Middle Name:E
Last Name:CHEGAR
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 1:735 W CARMEL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5802
Mailing Address - Country:US
Mailing Address - Phone:317-818-5438
Mailing Address - Fax:317-818-5444
Practice Address - Street 1:735 W CARMEL DR STE 100
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5802
Practice Address - Country:US
Practice Address - Phone:317-818-5438
Practice Address - Fax:317-818-5444
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01061854A207YS0123X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200823120Medicaid
I30424Medicare UPIN
IN200823120Medicaid