Provider Demographics
NPI:1891717385
Name:PEDDADA, CHITRA CHAUHAN (MD)
Entity type:Individual
Prefix:DR
First Name:CHITRA
Middle Name:CHAUHAN
Last Name:PEDDADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4700 HALE PARKWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220
Mailing Address - Country:US
Mailing Address - Phone:720-328-5151
Mailing Address - Fax:720-524-4336
Practice Address - Street 1:4700 HALE PARKWAY
Practice Address - Street 2:SUITE 300
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220
Practice Address - Country:US
Practice Address - Phone:720-328-5151
Practice Address - Fax:720-524-4336
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63174207R00000X
CO38207207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO52223868Medicaid
COCO30695Medicare PIN
COG08632Medicare UPIN