Basic Information
Provider Information
NPI: 1205024403
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHATURVEDI
FirstName: APEKSHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UNIVERSITY OF ROCHESTER MEDICAL CTR
Address2: 601 ELMWOOD AVENUE
City: ROCHESTER
State: NY
PostalCode: 146420001
CountryCode: US
TelephoneNumber: 5852752734
FaxNumber:  
Practice Location
Address1: UNIVERSITY OF ROCHESTER MEDICAL CTR
Address2: 601 ELMWOOD AVENUE
City: ROCHESTER
State: NY
PostalCode: 146420001
CountryCode: US
TelephoneNumber: 5852752734
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/12/2007
LastUpdateDate: 02/24/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085P0229X61 003965NYY Allopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
2085P0229XMD60147880WAN Allopathic & Osteopathic PhysiciansRadiologyPediatric Radiology

No ID Information.


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