Provider Demographics
NPI:1023075470
Name:KARDANI, CHAITALEE VITHAL (DPM)
Entity type:Individual
Prefix:MS
First Name:CHAITALEE
Middle Name:VITHAL
Last Name:KARDANI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:335 BILLINGSLEY RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1040
Mailing Address - Country:US
Mailing Address - Phone:704-632-8032
Mailing Address - Fax:704-632-8034
Practice Address - Street 1:335 BILLINGSLEY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1040
Practice Address - Country:US
Practice Address - Phone:704-632-8032
Practice Address - Fax:704-632-8034
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC506213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery