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NPI Code Detail

MEDICARE: XENON HEATH PC

MEDICARE: XENON HEATH PC
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
1207L00000XAnesthesiology PhysicianC53993CA

General Provider Information

NPI Number : 1346506672
Entity Type Code : Organization
Provider Name (Legal Business Name) : XENON HEATH PC
Provider Business Mailing Address
First Line : 111 TOWN SQUARE PL STE 420
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07310-1724
Country : US
Telephone Number : 917-397-1229
Fax Number : 201-604-6561
Provider Business Practice Location Address
First Line : 12100 WILSHIRE BLVD STE 800
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7140
Country : US
Telephone Number : 917-397-1229
Fax Number : 201-604-6561
Authorized Official
Title or Position : PRESIDENT
Name : DR. HAROON W CHAUDHRY
Credential : MD
Telephone Number : 917-621-6854
Provider Enumeration Date : 04/11/2012
Last Update Date : 05/12/2023

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Directions to “XENON HEATH PC ” Practice Location

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