Healthcare Provider Details

I. General information

NPI: 1962678573
Provider Name (Legal Business Name): BELA VINOD CHAUHAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2008
Last Update Date: 05/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37355 8 MILE RD
LIVONIA MI
48152-1148
US

IV. Provider business mailing address

37355 8 MILE RD
LIVONIA MI
48152-1148
US

V. Phone/Fax

Practice location:
  • Phone: 248-474-8657
  • Fax: 248-474-8272
Mailing address:
  • Phone: 248-474-8657
  • Fax: 248-474-8272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302031642
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: