Provider Demographics
NPI:1619156874
Name:CHAUHAN, ALIA (MD)
Entity Type:Individual
Prefix:
First Name:ALIA
Middle Name:
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 HILLSIDE AVENUE
Mailing Address - Street 2:202
Mailing Address - City:NEW HYDE
Mailing Address - State:NY
Mailing Address - Zip Code:11040
Mailing Address - Country:US
Mailing Address - Phone:516-616-0456
Mailing Address - Fax:516-355-5359
Practice Address - Street 1:1575 HILLSIDE AVE
Practice Address - Street 2:202
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2501
Practice Address - Country:US
Practice Address - Phone:516-616-0456
Practice Address - Fax:516-355-5359
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY242721208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics