Provider Demographics
NPI:1437313376
Name:CHAUHAN, CHIRAG AMBARAM (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIRAG
Middle Name:AMBARAM
Last Name:CHAUHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:499 E HAMPDEN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2792
Mailing Address - Country:US
Mailing Address - Phone:303-705-2002
Mailing Address - Fax:303-954-4506
Practice Address - Street 1:499 E HAMPDEN AVE STE 200
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2792
Practice Address - Country:US
Practice Address - Phone:303-705-2002
Practice Address - Fax:303-954-4506
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0061243207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000169668Medicaid