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NPI Code Detail

MEDICARE: CHADI RICHEH

MEDICARE: CHADI RICHEH
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
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianC201394CA
2207RE0101XEndocrinology, Diabetes & Metabolism PhysicianQ5261TX
3207R00000XInternal Medicine Physician125056720IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18FL397OTHERTXBCBS

General Provider Information

NPI Number : 1710214218
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHADI RICHEH
Provider Business Mailing Address
First Line : 39000 BOB HOPE DR
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3202
Country : US
Telephone Number : 760-834-7966
Fax Number : 760-837-8455
Provider Business Practice Location Address
First Line : 39000 BOB HOPE DR
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3202
Country : US
Telephone Number : 760-834-7966
Fax Number : 760-837-8455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2009
Last Update Date : 05/20/2026

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Directions to “ CHADI RICHEH ” Practice Location

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