HomeNPI Verification

NPI Verification

National Provider Identifier: 1558314484

Kethandapatti Chakravarthy Balaji, Mbbs

Individual Provider

Credentials

MBBS

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Urology

Code: 208800000X

Primary

Practice Address

PO BOX 44008

JACKSONVILLE, FL 322314008

Phone: 904-383-1016

NPI Enumeration Date

May 19, 2006

NPI Number

1558314484

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry