Healthcare Provider Details

I. General information

NPI: 1922107317
Provider Name (Legal Business Name): NARENDRA CHAUHAN,MD.,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13236 N 7TH ST SUITE# 4-256
PHOENIX AZ
85022-5343
US

IV. Provider business mailing address

13236 N 7TH ST SUITE# 4-256
PHOENIX AZ
85022-5343
US

V. Phone/Fax

Practice location:
  • Phone: 602-451-7558
  • Fax: 602-992-7656
Mailing address:
  • Phone: 602-451-7558
  • Fax: 602-992-7656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number16201
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number16201
License Number StateAZ

VIII. Authorized Official

Name: NARENDRA CHAUHAN
Title or Position: PRESIDENT
Credential: MD
Phone: 602-451-7558