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NPI Code Detail

MEDICARE: SANJAY M CHAVDA MD

MEDICARE: SANJAY M CHAVDA 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
1207RP1001XPulmonary Disease Physician33784KY

Other Identifiers

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

General Provider Information

NPI Number : 1437124484
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANJAY M CHAVDA MD
Provider Business Mailing Address
First Line : 1724 KENTON ST
Second Line : SUITE 1B
City : HOPKINSVILLE
State : KY
Zip : 42240-1981
Country : US
Telephone Number : 270-886-8840
Fax Number : 270-886-8869
Provider Business Practice Location Address
First Line : 1739 CANTON ST
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42240-1991
Country : US
Telephone Number : 270-881-1813
Fax Number : 270-881-4730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 03/30/2020

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Directions to “ SANJAY M CHAVDA MD” Practice Location

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