Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY R CHITTOOR, DO
ActiveJAY R CHITTOOR, DO is a Dermatology healthcare provider located in FORT LIBERTY, North Carolina. NPI 1770141715 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FORT LIBERTY, NC
Registration Details
- NPI Number
- 1770141715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2019 (7.1977160912858 yrs)
- Last Updated
- Aug 23, 2024
- Licenses
-
0102206235 (VA)0102206235 (VA)
Practice Information
- Address
-
2817 ROCK MERRITT AVENUEFORT LIBERTY, NC, 283100001Browse NC providers · Browse ZIP 28310
- Phone
- 9109076000
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.