Provider Demographics
NPI:1538458591
Name:CHUGHTAI, NOSHABA ROOHI (MD)
Entity Type:Individual
Prefix:MS
First Name:NOSHABA
Middle Name:ROOHI
Last Name:CHUGHTAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NOSHABA
Other - Middle Name:ROOHI
Other - Last Name:CHUGHTAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1763 GROGAN AVE
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-6455
Mailing Address - Country:US
Mailing Address - Phone:209-725-7149
Mailing Address - Fax:209-726-0134
Practice Address - Street 1:378 W OLIVE AVE STE A
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-3182
Practice Address - Country:US
Practice Address - Phone:209-205-1103
Practice Address - Fax:209-723-2543
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNE105805207Q00000X
CAA116159207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine