Healthcare Provider Details

I. General information

NPI: 1063478568
Provider Name (Legal Business Name): ASHOK CHAUHAN, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 09/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 S CARLIN SPRINGS RD STE 511
ARLINGTON VA
22204-1064
US

IV. Provider business mailing address

1981 AIKEN HILL CT
FALLS CHURCH VA
22043-1548
US

V. Phone/Fax

Practice location:
  • Phone: 703-379-4446
  • Fax: 703-379-0449
Mailing address:
  • Phone: 703-442-0660
  • Fax: 703-442-0662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101050597
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number0101050597
License Number StateVA

VIII. Authorized Official

Name: DR. ASHOK CHAUHAN
Title or Position: PRESIDENT
Credential: MD
Phone: 703-442-0660