MEDICARE: NEHA DINESH CHAUHAN MHS, DPT

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	2251P0200X	Pediatric Physical Therapist	62038219	NY

General Provider Information

NPI Number	:	1336548643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHA DINESH CHAUHAN MHS, DPT

Provider Business Mailing Address
First Line	:	3473 N 1ST ST APT 489
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95134-2177
Country	:	US
Telephone Number	:	317-529-5788
Fax Number	:

Provider Business Practice Location Address
First Line	:	3473 N 1ST ST APT 489
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95134-2177
Country	:	US
Telephone Number	:	317-529-5788
Fax Number	:

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

Provider Enumeration Date	:	08/22/2014
Last Update Date	:	08/22/2023

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