Most Relevant Information
Provider Data
| NPI Number: | 1003073461 |
| Provider Name: | CHETAN JIWAN WASEKAR M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/21/2008 |
| Last Updated: | 12/31/2012 |
Provider Practice Location
1325 S CLIFF AVE
SUITE 4421
SIOUX FALLS
SD
571051007
Practice Location Phone/Fax
| Phone: | 6053227645 |
| Fax: | 6053228414 |
Provider Mailing Location
1213 W MURPHY DR
SIOUX FALLS
SD
571083216
Provider Mailing Phone/Fax
| Phone: | 5735296612 |
| Fax: |