Provider Demographics
NPI:1396179040
Name:CHAUHAN, SUKH (DDS, BDS)
Entity Type:Individual
Prefix:
First Name:SUKH
Middle Name:
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:DDS, BDS
Other - Prefix:
Other - First Name:SUKHPREET
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2567 GRAPPA PL
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6476
Mailing Address - Country:US
Mailing Address - Phone:925-890-4193
Mailing Address - Fax:
Practice Address - Street 1:4020 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565
Practice Address - Country:US
Practice Address - Phone:925-432-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA628991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty