Healthcare Provider Details

I. General information

NPI: 1730243759
Provider Name (Legal Business Name): BHARAT CHAUHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 01/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W LA PALMA AVE
ANAHEIM CA
92801-2804
US

IV. Provider business mailing address

12745 EDGEFIELD ST
CERRITOS CA
90703-6059
US

V. Phone/Fax

Practice location:
  • Phone: 714-212-2099
  • Fax: 951-272-9924
Mailing address:
  • Phone: 951-801-2513
  • Fax: 951-351-1104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA64947
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: