Healthcare Provider Details

I. General information

NPI: 1063444826
Provider Name (Legal Business Name): JANAK KANTILAL CHOKSI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 03/01/2024
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1236 HUFFMAN MILL RD SUITE #120
BURLINGTON NC
27215-8700
US

IV. Provider business mailing address

5221 PARAMOUNT PKWY STE 220
MORRISVILLE NC
27560-5490
US

V. Phone/Fax

Practice location:
  • Phone: 336-538-7725
  • Fax: 336-538-7785
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number26094
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: