Provider Demographics
NPI:1841602729
Name:CHITANAND, ALICIA BARNES (DO)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:BARNES
Last Name:CHITANAND
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1600 OLIVE CHAPEL RD STE 124
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-6766
Mailing Address - Country:US
Mailing Address - Phone:919-752-4868
Mailing Address - Fax:
Practice Address - Street 1:1600 OLIVE CHAPEL RD STE 124
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-6766
Practice Address - Country:US
Practice Address - Phone:919-752-4868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102204556207QS0010X
NCFC6870251207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine