Basic Information
| Provider Information | |||||||||
| NPI: | 1073589222 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NAGAR | ||||||||
| FirstName: | CHAITHRA | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 HARBOR DRIVE | ||||||||
| Address2: | SUITE 111 | ||||||||
| City: | SAUSALITO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94965 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4156832988 | ||||||||
| FaxNumber: | 4156832980 | ||||||||
| Practice Location | |||||||||
| Address1: | 3 HARBOR DRIVE | ||||||||
| Address2: | SUITE 111 | ||||||||
| City: | SAUSALITO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94965 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4156832988 | ||||||||
| FaxNumber: | 4156832980 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2006 | ||||||||
| LastUpdateDate: | 02/01/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | A88752 | CA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.