Provider Demographics
NPI:1225011562
Name:PUSHPA CHAUHAN D.P.M.
Entity Type:Organization
Organization Name:PUSHPA CHAUHAN D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PUSHPA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-362-7322
Mailing Address - Street 1:160 W 86TH ST
Mailing Address - Street 2:MS#2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4018
Mailing Address - Country:US
Mailing Address - Phone:212-362-7322
Mailing Address - Fax:212-362-7084
Practice Address - Street 1:160 W 86TH ST
Practice Address - Street 2:MS#2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4018
Practice Address - Country:US
Practice Address - Phone:212-362-7322
Practice Address - Fax:212-362-7084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004370-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT51484Medicare UPIN
NYP46171Medicare ID - Type Unspecified