MEDICARE: DR. VINCENT ANDREW CHEHVAL D.O.

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	208800000X	Urology Physician	007313	AZ
2	208800000X	Urology Physician	R-9772	IA

General Provider Information

NPI Number	:	1669785598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINCENT ANDREW CHEHVAL D.O.

Provider Business Mailing Address
First Line	:	10200 GRAND CENTRAL AVE STE 220
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4366
Country	:	US
Telephone Number	:	602-222-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	18699 N 67TH AVE STE 230
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-7147
Country	:	US
Telephone Number	:	623-935-5522
Fax Number	:

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

Provider Enumeration Date	:	07/20/2010
Last Update Date	:	01/05/2026

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