Provider Demographics
NPI:1215383401
Name:AMOL CHAUGULE MD PLLC
Entity Type:Organization
Organization Name:AMOL CHAUGULE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:AMOL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUGULE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-460-6074
Mailing Address - Street 1:126 ELDRIDGE RD STE E
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3106
Mailing Address - Country:US
Mailing Address - Phone:832-939-9622
Mailing Address - Fax:
Practice Address - Street 1:126 ELDRIDGE RD STE E
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3106
Practice Address - Country:US
Practice Address - Phone:832-939-9622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ19632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty