MEDICARE: FADI CHAHIN 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	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	A83794	CA

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	:	1578577920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FADI CHAHIN MD

Provider Business Mailing Address
First Line	:	PO BOX 10628
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90213-3628
Country	:	US
Telephone Number	:	310-274-2763
Fax Number	:	310-275-0477

Provider Business Practice Location Address
First Line	:	433 N CAMDEN DR
Second Line	:	STE 1170
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4409
Country	:	US
Telephone Number	:	310-274-2763
Fax Number	:	310-275-0477

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	10/31/2011

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