Healthcare Provider Details

I. General information

NPI: 1881527562
Provider Name (Legal Business Name): KARAN RAJESHKUMAR CHAUDHARI M.B.B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 WEST WALNUT STREET GRADUATE MEDICAL EDUCATION DEPT.
JOHNSON CITY TN
37604
US

IV. Provider business mailing address

917 WEST WALNUT STREET GRADUATE MEDICAL EDUCATION DEPT.
JOHNSON CITY TN
37604
US

V. Phone/Fax

Practice location:
  • Phone: 423-439-6464
  • Fax: 423-439-7118
Mailing address:
  • Phone: 423-439-6464
  • Fax: 423-439-7118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: