Provider Demographics
NPI:1316108640
Name:CHATANI-HINZE, MAYUMI (MD)
Entity type:Individual
Prefix:
First Name:MAYUMI
Middle Name:
Last Name:CHATANI-HINZE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1220
Mailing Address - Country:US
Mailing Address - Phone:603-883-7970
Mailing Address - Fax:603-595-3652
Practice Address - Street 1:2300 SOUTHWOOD DR
Practice Address - Street 2:DARTMOUTH HITCHCOCK - FAMILY MEDICINE
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063
Practice Address - Country:US
Practice Address - Phone:603-577-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116019086207Q00000X
MA243165207Q00000X
NH14864207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine