Provider Demographics
NPI:1104172188
Name:KATIYAR, CHITRA PUNJABI (MD)
Entity type:Individual
Prefix:DR
First Name:CHITRA
Middle Name:PUNJABI
Last Name:KATIYAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHITRA
Other - Middle Name:DEEPAK
Other - Last Name:PUNJABI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1309 5TH AVE APT 9G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-3124
Mailing Address - Country:US
Mailing Address - Phone:215-987-8843
Mailing Address - Fax:
Practice Address - Street 1:1250 WATERS PLACE
Practice Address - Street 2:TOWER II, 12TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:866-633-8255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD455584207R00000X
PAMT200996390200000X
NY299158207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program