Provider Demographics
NPI:1114416435
Name:CHHOT, SARETH HONG
Entity Type:Individual
Prefix:
First Name:SARETH
Middle Name:HONG
Last Name:CHHOT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-4686
Mailing Address - Country:US
Mailing Address - Phone:774-360-2348
Mailing Address - Fax:
Practice Address - Street 1:822 MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-4686
Practice Address - Country:US
Practice Address - Phone:774-360-2348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
MA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator