Provider Demographics
NPI:1467899419
Name:CHERNOFF, EARL MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:MARTIN
Last Name:CHERNOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10880 E KAREN DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-1817
Mailing Address - Country:US
Mailing Address - Phone:480-248-9447
Mailing Address - Fax:480-275-8394
Practice Address - Street 1:10880 EAST KARED DRIVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-1817
Practice Address - Country:US
Practice Address - Phone:480-248-9447
Practice Address - Fax:480-275-8394
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7345207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology