Healthcare Provider Details

I. General information

NPI: 1750885943
Provider Name (Legal Business Name): KAREN KOCHHAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 03/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 N ORACLE RD
TUCSON AZ
85704-3980
US

IV. Provider business mailing address

5601 N ORACLE RD
TUCSON AZ
85704-3980
US

V. Phone/Fax

Practice location:
  • Phone: 520-268-8760
  • Fax: 520-257-3819
Mailing address:
  • Phone: 520-268-8760
  • Fax: 520-257-3819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: