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NPI Code Detail

MEDICARE: DR. ALLAN JOEL CHERNOV M.D.

MEDICARE:  DR. ALLAN JOEL CHERNOV  M.D.
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
1207R00000XInternal Medicine PhysicianL3263TX

General Provider Information

NPI Number : 1720265259
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLAN JOEL CHERNOV M.D.
Provider Business Mailing Address
First Line : 901 S CENTRAL EXPY
Second Line : NORTH BUILDING, MAIL STOP E
City : RICHARDSON
State : TX
Zip : 75080-7302
Country : US
Telephone Number : 972-766-1149
Fax Number : 972-766-5559
Provider Business Practice Location Address
First Line : 901 S CENTRAL EXPY
Second Line : NORTH BUILDING, MAIL STOP E
City : RICHARDSON
State : TX
Zip : 75080-7302
Country : US
Telephone Number : 972-766-1149
Fax Number : 972-766-5559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2008
Last Update Date : 01/28/2008

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Directions to “ DR. ALLAN JOEL CHERNOV M.D.” Practice Location

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