Provider Demographics
NPI:1831291905
Name:CHANDARLAPATY, CHAITANYA SK (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAITANYA
Middle Name:SK
Last Name:CHANDARLAPATY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:CHAITANYA
Other - Middle Name:SK
Other - Last Name:CHANDARLAPATY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:VAMEDICAL CENTER
Mailing Address - Street 2:1201 N.W.16 ST
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125
Mailing Address - Country:US
Mailing Address - Phone:305-324-4455
Mailing Address - Fax:
Practice Address - Street 1:1201 NW 16 STREET
Practice Address - Street 2:VETERANS AFFAIRS MEDICAL CENTER
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125
Practice Address - Country:US
Practice Address - Phone:305-324-4455
Practice Address - Fax:305-324-3149
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19782207UN0903X
FLME197822085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0903XAllopathic & Osteopathic PhysiciansNuclear MedicineIn Vivo & In Vitro Nuclear Medicine
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound