Provider Demographics
NPI:1255810602
Name:INFUTX
Entity type:Organization
Organization Name:INFUTX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHAITANYA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GADDE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:302-507-6852
Mailing Address - Street 1:2 PENNS WAY STE 406
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-2407
Mailing Address - Country:US
Mailing Address - Phone:302-544-5138
Mailing Address - Fax:302-544-5018
Practice Address - Street 1:2 PENNS WAY STE 406
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-2407
Practice Address - Country:US
Practice Address - Phone:302-544-5138
Practice Address - Fax:302-544-5018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy