Healthcare Provider Details

I. General information

NPI: 1669308219
Provider Name (Legal Business Name): SUNIDHI CHAUHAN MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAX CHAUHAN

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 WOODVIEW CIR
SAN RAMON CA
94582-2310
US

IV. Provider business mailing address

112 WOODVIEW CIR
SAN RAMON CA
94582-2310
US

V. Phone/Fax

Practice location:
  • Phone: 925-997-8021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC001978
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: