Provider Demographics
NPI:1598721458
Name:CHAUHAN, PYARA SINGH (MD)
Entity Type:Individual
Prefix:
First Name:PYARA
Middle Name:SINGH
Last Name:CHAUHAN
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 1:18325 E 10 MILE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-4990
Mailing Address - Country:US
Mailing Address - Phone:586-773-6300
Mailing Address - Fax:586-773-6266
Practice Address - Street 1:28565 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4330
Practice Address - Country:US
Practice Address - Phone:586-773-6300
Practice Address - Fax:586-773-6266
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIPC044746208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP00187888OtherRAILROAD MEDICARE PIN
MIPC044746OtherLICENSE
MI3405008461OtherBCBSM
MI4657158Medicaid
MIPC044746OtherLICENSE
MI0M07510007Medicare PIN
MI1005840001Medicare NSC