Provider Demographics
NPI:1063537215
Name:BYADGI, CHETHAN (MD)
Entity type:Individual
Prefix:
First Name:CHETHAN
Middle Name:
Last Name:BYADGI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1831 PITTSTON AVE
Mailing Address - Street 2:LEFT BUILDING
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-1651
Mailing Address - Country:US
Mailing Address - Phone:570-507-9517
Mailing Address - Fax:570-507-9520
Practice Address - Street 1:1831 PITTSTON AVE
Practice Address - Street 2:LEFT BUILDING
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-1651
Practice Address - Country:US
Practice Address - Phone:570-507-9517
Practice Address - Fax:570-507-9520
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2015-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY243084-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine