MEDICARE: SUBODHSINGH R 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	207V00000X	Obstetrics & Gynecology Physician	21214	WV
2	207VE0102X	Reproductive Endocrinology Physician	21214	WV
3	207VE0102X	Reproductive Endocrinology Physician	M1047	TX

General Provider Information

NPI Number	:	1639157738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUBODHSINGH R CHAUHAN MD

Provider Business Mailing Address
First Line	:	1213 HERMANN DRIVE
Second Line	:	SUITE 820
City	:	HOUSTON
State	:	TX
Zip	:	77004-7014
Country	:	US
Telephone Number	:	713-512-7027
Fax Number	:	713-512-7082

Provider Business Practice Location Address
First Line	:	SUITE 4400 7900 FANNIN STREET
Second Line	:	HOUSTON FERTILITY SPECIALISTS, PLLC
City	:	HOUSTON
State	:	TX
Zip	:	77054-2949
Country	:	US
Telephone Number	:	713-512-7900
Fax Number	:	281-491-2961

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	10/08/2015

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