Provider Demographics
NPI:1033705397
Name:CHAI MIDWIFERY LLC
Entity Type:Organization
Organization Name:CHAI MIDWIFERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SORAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:206-719-1959
Mailing Address - Street 1:HC 72 BOX 18
Mailing Address - Street 2:
Mailing Address - City:RIBERA
Mailing Address - State:NM
Mailing Address - Zip Code:87560-9601
Mailing Address - Country:US
Mailing Address - Phone:206-719-1959
Mailing Address - Fax:
Practice Address - Street 1:626 CR B36
Practice Address - Street 2:
Practice Address - City:RIBERA
Practice Address - State:NM
Practice Address - Zip Code:87560
Practice Address - Country:US
Practice Address - Phone:206-719-1959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty