Provider Demographics
NPI:1922339738
Name:DHARMAR, CHITRA SP (MD,)
Entity Type:Individual
Prefix:DR
First Name:CHITRA
Middle Name:SP
Last Name:DHARMAR
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 TAVISTOCK
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-4027
Mailing Address - Country:US
Mailing Address - Phone:775-292-0133
Mailing Address - Fax:305-832-7988
Practice Address - Street 1:377 TAVISTOCK
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-4027
Practice Address - Country:US
Practice Address - Phone:775-292-0133
Practice Address - Fax:305-832-7988
Is Sole Proprietor?:No
Enumeration Date:2010-01-18
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA 110183208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics