Healthcare Provider Details

I. General information

NPI: 1255717153
Provider Name (Legal Business Name): NAISHA CHOKSHI MD, FAAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2015
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL
MADERA CA
93636-8761
US

IV. Provider business mailing address

5105 MADISON AVE APT B1
OKEMOS MI
48864-5125
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-8769
  • Fax:
Mailing address:
  • Phone: 929-326-0150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA170278
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number4301114365
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: