Dr. Chetan Bettegowda, MD,PhD
Neurological Surgery in Baltimore, MD. Individual provider (NPI-1).
NPI number1467504373
StatusActive
Last updated in NPPESMay 27, 2020
Details
- NPI
- 1467504373
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chetan Bettegowda
- Credential
- MD,PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2007
- Certification date
- May 27, 2020
- Last updated
- May 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | D74560 | MD | Yes |
| 207T00000X | Neurological Surgery | P19991 | MD |
Practice location
600 N Wolfe StPhipps 116
Baltimore, MD 21287-0005
Phone 410-955-8620
Mailing address
Po Box 64286Baltimore, MD 21264-4686
Phone 410-955-6406
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