Healthcare Provider Details

I. General information

NPI: 1134506942
Provider Name (Legal Business Name): AYUSHI CHAUHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AYUSHI CHAUHAN

II. Dates (important events)

Enumeration Date: 04/30/2015
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date: 12/09/2015
Reactivation Date: 01/06/2016

III. Provider practice location address

1515 HOLCOMBE BLVD
HOUSTON TX
77030-4000
US

IV. Provider business mailing address

PO BOX 4439
HOUSTON TX
77210-4439
US

V. Phone/Fax

Practice location:
  • Phone: 713-792-6161
  • Fax:
Mailing address:
  • Phone: 713-792-2991
  • Fax: 860-714-8275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number88369
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberU8306
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: