MEDICARE: ASHISH CHAUHAN

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	156FX1800X	Optician	OP.017650-S	OH

General Provider Information

NPI Number	:	1083467336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHISH CHAUHAN

Provider Business Mailing Address
First Line	:	246 FLUSHING WAY
Second Line	:
City	:	SUNBURY
State	:	OH
Zip	:	43074-9016
Country	:	US
Telephone Number	:	732-372-5746
Fax Number	:

Provider Business Practice Location Address
First Line	:	4729 REED RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3051
Country	:	US
Telephone Number	:	732-372-5746
Fax Number	:

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

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	04/08/2024

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Directions to “ ASHISH CHAUHAN ” Practice Location

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