Provider Demographics
NPI:1891773560
Name:CHITNAVIS, VIKAS NARAYAN (MD)
Entity type:Individual
Prefix:
First Name:VIKAS
Middle Name:NARAYAN
Last Name:CHITNAVIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:VIKAS
Other - Middle Name:NARAYAN
Other - Last Name:CHITNAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:213 S JEFFERSON ST STE 1006
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1713
Mailing Address - Country:US
Mailing Address - Phone:540-224-5353
Mailing Address - Fax:
Practice Address - Street 1:3 RIVERSIDE CIR
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-4955
Practice Address - Country:US
Practice Address - Phone:540-224-5170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020-01762207RG0100X
VA0101840402207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010162271Medicaid
181492OtherANTHEM
P00233432OtherMC RAILROAD
007503V44Medicare PIN
F36678Medicare UPIN