Provider Demographics
NPI:1184145484
Name:CHATURVEDI, ANOOP KUMAR (MD)
Entity type:Individual
Prefix:
First Name:ANOOP
Middle Name:KUMAR
Last Name:CHATURVEDI
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:PO BOX 1267
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-1267
Mailing Address - Country:US
Mailing Address - Phone:832-539-3786
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 129 KM 0.1 AVENIDA SAN LUIS
Practice Address - Street 2:SUITE NUMBER 107, HOSPITAL PAVIA ARECIBO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00613
Practice Address - Country:US
Practice Address - Phone:787-878-9402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19661208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice