Provider Demographics
NPI:1598081069
Name:CHAUHAN, LINA PRAMOD (MS)
Entity Type:Individual
Prefix:MS
First Name:LINA
Middle Name:PRAMOD
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4483 ROLLING MDWS
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6574
Mailing Address - Country:US
Mailing Address - Phone:240-654-7886
Mailing Address - Fax:
Practice Address - Street 1:10450 SHAKER DR
Practice Address - Street 2:#108
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1143
Practice Address - Country:US
Practice Address - Phone:240-654-7886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05694235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist