Provider Demographics
NPI:1255591343
Name:CHITKARA, MUNISH KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:MUNISH
Middle Name:KUMAR
Last Name:CHITKARA
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 1:677 N WILMOT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-2701
Mailing Address - Country:US
Mailing Address - Phone:520-795-2889
Mailing Address - Fax:520-795-6321
Practice Address - Street 1:677 N WILMOT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-2701
Practice Address - Country:US
Practice Address - Phone:520-795-2889
Practice Address - Fax:520-795-6321
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ489312085R0202X, 2085U0001X, 2085B0100X
AZ70465207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ005472OtherGROUP AHCCCS ID
AZCS7943OtherGROUP MEDICARE RAILROAD
AZZWCBBMOtherGROUP MEDICARE PTAN
AZ904908OtherPHYSCIAN AHCCCS ID
AZ1255591343OtherPHYSICIAN NPI
AZ1841231989OtherGROUP NPI
AZZ166866OtherMEDICARE PTAN FOR PHYSICIAN