MEDICARE: CHIRAG CHAVDA M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	247596	MA
2	208M00000X	Hospitalist Physician	P1977	TX
3	207R00000X	Internal Medicine Physician	P1977	TX

General Provider Information

NPI Number	:	1023314655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIRAG CHAVDA M.D

Provider Business Mailing Address
First Line	:	5860 COLLIN MCKINNEY PKWY STE 602
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5860 COLLIN MCKINNEY PKWY STE 602
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5103
Country	:	US
Telephone Number	:	862-485-3204
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2011
Last Update Date	:	05/23/2023

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