Provider Demographics
NPI:1245215516
Name:CHAUHAN, MANISH SAGARMAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MANISH
Middle Name:SAGARMAL
Last Name:CHAUHAN
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 1:2410 ROUND ROCK AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4002
Mailing Address - Country:US
Mailing Address - Phone:512-827-0927
Mailing Address - Fax:512-827-0928
Practice Address - Street 1:2200 PARK BEND DR
Practice Address - Street 2:BLDG. 2 SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5387
Practice Address - Country:US
Practice Address - Phone:512-617-6000
Practice Address - Fax:512-339-7838
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0039207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172885901Medicaid
TXP00224715OtherMEDICAID RAILROAD
TXP00224715OtherMEDICAID RAILROAD
TX8L15000Medicare PIN
TX8L14543Medicare PIN
TX8J5288Medicare PIN
TX8D1592Medicare PIN