Basic Information
Provider Information
NPI: 1528412046
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GHARTI CHHETRY
FirstName: MINAR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1840 MEDICAL CENTER PKWY STE 201
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371293237
CountryCode: US
TelephoneNumber: 6158675028
FaxNumber: 6158676650
Practice Location
Address1: 1840 MEDICAL CENTER PKWY STE 201
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371293237
CountryCode: US
TelephoneNumber: 6158675028
FaxNumber: 6158676650
Other Information
ProviderEnumerationDate: 04/21/2016
LastUpdateDate: 09/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X65731TNY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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