Provider Demographics
NPI:1730837766
Name:MAISTRY, CHAI AURAN (RT(R))
Entity type:Individual
Prefix:
First Name:CHAI
Middle Name:AURAN
Last Name:MAISTRY
Suffix:
Gender:M
Credentials:RT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 CROSS TIMBERS DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-4775
Mailing Address - Country:US
Mailing Address - Phone:214-218-4029
Mailing Address - Fax:
Practice Address - Street 1:745 CROSS TIMBERS DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4775
Practice Address - Country:US
Practice Address - Phone:214-218-4029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXGMR02007891247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist