Individual provider · Type 1 NPI

Smitha Chavali

General Practice Physician · Bronx, NY

NPI number 1629514344 Active

Practice location

1265 Fulton Ave
Bronx, NY 10456-3401

Call (718) 299-7295 Map

Fax (718) 299-6797

Mailing address

3198 Grand Concourse
Bronx, NY 10458-1000

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XP01423 (NY)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1629514344

Smitha Chavali's National Provider Identifier is 1629514344, issued on Jan 19, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bronx, NY. The record was last updated on Jan 19, 2017.