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NPI Code Detail

MEDICARE: SUZANNE MARIE CHAVES MD

MEDICARE: SUZANNE MARIE CHAVES 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
1207R00000XInternal Medicine PhysicianA79914CA
2207RE0101XEndocrinology, Diabetes & Metabolism PhysicianA79914CA

General Provider Information

NPI Number : 1851390058
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE MARIE CHAVES MD
Provider Business Mailing Address
First Line : 39000 BOB HOPE DR
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3221
Country : US
Telephone Number : 760-321-5257
Fax Number : 760-773-1631
Provider Business Practice Location Address
First Line : 39000 BOB HOPE DR
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3221
Country : US
Telephone Number : 760-321-5257
Fax Number : 760-773-1631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/29/2024

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