Provider Demographics
NPI:1932402534
Name:GADDE, CHAITANYA (RPH, MBA)
Entity Type:Individual
Prefix:
First Name:CHAITANYA
Middle Name:
Last Name:GADDE
Suffix:
Gender:M
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4524 KIRKWOOD HWY
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 PENNS WAY STE 404
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
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA10002645183500000X
DEA10002643183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist