Provider Demographics
NPI:1336166354
Name:CHODAY, RATNA (MD)
Entity type:Individual
Prefix:
First Name:RATNA
Middle Name:
Last Name:CHODAY
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 1:9121 N MILITARY TRL STE 111
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5985
Mailing Address - Country:US
Mailing Address - Phone:561-626-7604
Mailing Address - Fax:561-626-1506
Practice Address - Street 1:9121 N MILITARY TRL STE 111
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-5985
Practice Address - Country:US
Practice Address - Phone:561-626-7604
Practice Address - Fax:561-626-1506
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90264207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I23974Medicare UPIN
FL500812Medicare ID - Type Unspecified