MEDICARE: DR. MUHAMMAD AHMED NABEEL CHAUHAN 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	390200000X	Student in an Organized Health Care Education/Training Program
2	2084N0400X	Neurology Physician	9756660-1205	UT

General Provider Information

NPI Number	:	1215295365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUHAMMAD AHMED NABEEL CHAUHAN M.D.

Provider Business Mailing Address
First Line	:	175 N MEDICAL DR E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-5901
Country	:	US
Telephone Number	:	801-587-9935
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 N MEDICAL DR E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-5901
Country	:	US
Telephone Number	:	801-587-9935
Fax Number	:

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

Provider Enumeration Date	:	04/26/2012
Last Update Date	:	11/12/2021

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