Provider Demographics
NPI:1609131234
Name:DUVOOR, CHITHARANJAN (MD,MRCGP)
Entity type:Individual
Prefix:DR
First Name:CHITHARANJAN
Middle Name:
Last Name:DUVOOR
Suffix:
Gender:M
Credentials:MD,MRCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 SOUTHWEST DR STE B
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-5854
Mailing Address - Country:US
Mailing Address - Phone:501-431-2643
Mailing Address - Fax:501-431-2649
Practice Address - Street 1:325 SOUTHWEST DR STE B
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-5854
Practice Address - Country:US
Practice Address - Phone:501-431-2643
Practice Address - Fax:501-431-2649
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ARE-9423207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR221727001Medicaid