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NPI Code Detail

MEDICARE: GEETA S CHAVDA MD PLLC

MEDICARE: GEETA S CHAVDA MD PLLC
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 Physician
2261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1750302865
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEETA S CHAVDA MD PLLC
Provider Business Mailing Address
First Line : 1739 CANTON ST
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42240-1991
Country : US
Telephone Number : 270-881-1411
Fax Number : 270-881-4730
Provider Business Practice Location Address
First Line : 1739 CANTON ST
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42240-1991
Country : US
Telephone Number : 270-881-1411
Fax Number : 270-881-4730
Authorized Official
Title or Position : OWNER
Name : DR. GEETA S CHAVDA
Credential : MD
Telephone Number : 270-881-1411
Provider Enumeration Date : 07/22/2006
Last Update Date : 02/28/2018

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Directions to “GEETA S CHAVDA MD PLLC ” Practice Location

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