Provider Demographics
NPI:1326045956
Name:CHOKSHI, NIMISH N (DPM)
Entity Type:Individual
Prefix:DR
First Name:NIMISH
Middle Name:N
Last Name:CHOKSHI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 WILLIAM PENN HWY
Mailing Address - Street 2:SUITE 302
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5283
Mailing Address - Country:US
Mailing Address - Phone:610-810-0800
Mailing Address - Fax:610-810-0801
Practice Address - Street 1:2925 WILLIAM PENN HWY
Practice Address - Street 2:SUITE 302
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5283
Practice Address - Country:US
Practice Address - Phone:610-810-0800
Practice Address - Fax:610-810-0801
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004034L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02118801OtherCAPTIAL BLUE CROSS
PA783415OtherHIGHMARK
PA783415G6JMedicare ID - Type Unspecified
PA02118801OtherCAPTIAL BLUE CROSS