Provider Demographics
NPI:1134506942
Name:CHAUHAN, AYUSHI
Entity Type:Individual
Prefix:MS
First Name:AYUSHI
Middle Name:
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AYUSHI
Other - Middle Name:
Other - Last Name:CHAUHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:114 WOODLAND STREET
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105
Mailing Address - Country:US
Mailing Address - Phone:860-714-4532
Mailing Address - Fax:860-714-8275
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-721-8623
Practice Address - Fax:706-721-1459
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2021-04-21
Deactivation Date:2015-12-09
Deactivation Code:
Reactivation Date:2016-01-06
Provider Licenses
StateLicense IDTaxonomies
GA88369207RH0003X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program