Healthcare Provider Details

I. General information

NPI: 1073444394
Provider Name (Legal Business Name): NEELAM KAUR CHOUHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6189 E YALE AVE
FRESNO CA
93727-1540
US

IV. Provider business mailing address

6189 E YALE AVE
FRESNO CA
93727-1540
US

V. Phone/Fax

Practice location:
  • Phone: 559-906-4259
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95039115
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: