MEDICARE: DR. JASWINDER TONY CHAUHAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	25966	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316960578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASWINDER TONY CHAUHAN MD

Provider Business Mailing Address
First Line	:	2720 SUNSET BLVD
Second Line	:	ATTN CREDENTIALING
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-4810
Country	:	US
Telephone Number	:	803-936-7679
Fax Number	:

Provider Business Practice Location Address
First Line	:	7035 ST ANDREWS RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-1177
Country	:	US
Telephone Number	:	803-749-0924
Fax Number	:	803-407-4101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	03/10/2008

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