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NPI Code Detail

MEDICARE: SANJAY CHAUHAN MD INC.

MEDICARE: SANJAY CHAUHAN MD INC.
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
1204D00000XNeuromusculoskeletal Medicine & OMM PhysicianA50709CA

General Provider Information

NPI Number : 1639455462
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANJAY CHAUHAN MD INC.
Provider Business Mailing Address
First Line : 2407 E SUSSEX WAY STE 107
Second Line :
City : FRESNO
State : CA
Zip : 93726-4035
Country : US
Telephone Number : 559-244-0955
Fax Number : 559-244-0912
Provider Business Practice Location Address
First Line : 2407 E SUSSEX WAY STE 107
Second Line :
City : FRESNO
State : CA
Zip : 93726-4035
Country : US
Telephone Number : 559-244-0955
Fax Number : 559-244-0912
Authorized Official
Title or Position : PRESIDENT
Name : DR. SANJAY JOSEPH CHAUHAN
Credential : M.D.
Telephone Number : 559-244-0955
Provider Enumeration Date : 10/25/2011
Last Update Date : 10/25/2011

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