Healthcare Provider Details

I. General information

NPI: 1316927783
Provider Name (Legal Business Name): ANA CHAUHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 N PECOS RD
HENDERSON NV
89074
US

IV. Provider business mailing address

283 N PECOS RD
HENDERSON NV
89074
US

V. Phone/Fax

Practice location:
  • Phone: 702-260-4525
  • Fax: 702-260-4533
Mailing address:
  • Phone: 702-260-4525
  • Fax: 702-260-4533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number11080
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: