Provider Demographics
NPI:1578896494
Name:CHAUHAN, ANURADHA (DDS)
Entity Type:Individual
Prefix:
First Name:ANURADHA
Middle Name:
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 ARCH ST STE B
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1342
Mailing Address - Country:US
Mailing Address - Phone:408-420-0530
Mailing Address - Fax:
Practice Address - Street 1:193 ARCH ST STE B
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1342
Practice Address - Country:US
Practice Address - Phone:408-420-0530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58590122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist