Provider Demographics
NPI:1215030887
Name:CHODOS, ARTHUR ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:ROBERT
Last Name:CHODOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 W ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4637
Mailing Address - Country:US
Mailing Address - Phone:561-278-3134
Mailing Address - Fax:561-278-3922
Practice Address - Street 1:2280 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445
Practice Address - Country:US
Practice Address - Phone:561-278-3134
Practice Address - Fax:561-278-3922
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2015-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0040005207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D65274Medicare UPIN
FL61389ZMedicare ID - Type Unspecified