MEDICARE: NARENDRA CHAUHAN MD

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	2084P0800X	Psychiatry Physician	16201	AZ
2	2084P0805X	Geriatric Psychiatry Physician	16201	AZ

General Provider Information

NPI Number	:	1760478861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NARENDRA CHAUHAN MD

Provider Business Mailing Address
First Line	:	13236 N 7TH ST
Second Line	:	STE 4-256
City	:	PHOENIX
State	:	AZ
Zip	:	85022-5343
Country	:	US
Telephone Number	:	602-451-7558
Fax Number	:	602-992-7656

Provider Business Practice Location Address
First Line	:	13236 N 7TH ST
Second Line	:	STE 4-256
City	:	PHOENIX
State	:	AZ
Zip	:	85022-5343
Country	:	US
Telephone Number	:	602-451-7558
Fax Number	:	602-992-7656

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

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	04/25/2014

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