Healthcare Provider Details

I. General information

NPI: 1336548643
Provider Name (Legal Business Name): NEHA DINESH CHAUHAN MHS, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2014
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3473 N 1ST ST APT 489
SAN JOSE CA
95134-2177
US

IV. Provider business mailing address

3473 N 1ST ST APT 489
SAN JOSE CA
95134-2177
US

V. Phone/Fax

Practice location:
  • Phone: 317-529-5788
  • Fax:
Mailing address:
  • Phone: 317-529-5788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number62038219
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: