Provider Demographics
NPI:1306820535
Name:CHAUHAN, KIRANKUMAR P (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRANKUMAR
Middle Name:P
Last Name:CHAUHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:280 CHESTNUT STREET
Mailing Address - Street 2:2ND FL
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:24 NORTH WESTFIELD STREET
Practice Address - Street 2:
Practice Address - City:FEEDING HILLS
Practice Address - State:MA
Practice Address - Zip Code:01030-1606
Practice Address - Country:US
Practice Address - Phone:413-831-7831
Practice Address - Fax:413-831-7832
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA53584207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110183525OtherRR MEDICARE
MA110059292/AMedicaid
MA110059292/AMedicaid