Chetany Agastya
Specialist/Technologist, Other, Electroneurodiagnostic in Las Vegas, NV. Individual provider (NPI-1).
NPI number1972149474
StatusActive
Last updated in NPPESNov 20, 2019
Details
- NPI
- 1972149474
- Entity type
- Individual (NPI-1)
- Name
- Chetany Agastya
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2019
- Last updated
- Nov 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | Yes |
Practice location
9811 W Charleston Blvd # 2-641Las Vegas, NV 89117-7528
Phone 855-864-4322 · Fax 866-540-2867
Mailing address
1492 Waterford RdNorth Aurora, IL 60542-1765
Phone 228-346-0715
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