Provider Demographics
NPI:1922201367
Name:ABHYANKAR, KETAKI VIJAY (MD)
Entity Type:Individual
Prefix:DR
First Name:KETAKI
Middle Name:VIJAY
Last Name:ABHYANKAR
Suffix:
Gender:F
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:C/O ACADEMIC AFFAIRS, SUITE 2A00
Mailing Address - Street 2:CHRISTIANA HOSPITAL, PO BOX 6001
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CHRISTIANA CARE HEALTH SYSTEM
Practice Address - Street 2:4755 OGLETOWN-STANTON ROAD
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0001
Practice Address - Country:US
Practice Address - Phone:302-733-3904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-0003798207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine