Provider Demographics
NPI:1336237973
Name:CHIKARMANE, AJIT M (MD)
Entity type:Individual
Prefix:
First Name:AJIT
Middle Name:M
Last Name:CHIKARMANE
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 1:20 N LAUREL ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201
Mailing Address - Country:US
Mailing Address - Phone:570-454-5715
Mailing Address - Fax:570-455-5095
Practice Address - Street 1:20 N LAUREL ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201
Practice Address - Country:US
Practice Address - Phone:570-454-5715
Practice Address - Fax:570-455-5095
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAM0027889E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA195234Medicare ID - Type Unspecified
B41076Medicare UPIN