Provider Demographics
NPI:1376144881
Name:CHAUHAN, HARISH CHANDER
Entity Type:Individual
Prefix:
First Name:HARISH
Middle Name:CHANDER
Last Name:CHAUHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 US HIGHWAY 92 W
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-3923
Mailing Address - Country:US
Mailing Address - Phone:863-551-3536
Mailing Address - Fax:863-551-9178
Practice Address - Street 1:2120 US HIGHWAY 92 W
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-3923
Practice Address - Country:US
Practice Address - Phone:863-551-3536
Practice Address - Fax:863-551-9178
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42423183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist