Provider Demographics
NPI:1730102799
Name:GEETA CHAVDA DBA HENRY BELL CLINIC
Entity Type:Organization
Organization Name:GEETA CHAVDA DBA HENRY BELL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEETA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHAVDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-265-2574
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:KY
Mailing Address - Zip Code:42220-0187
Mailing Address - Country:US
Mailing Address - Phone:270-265-2574
Mailing Address - Fax:270-265-3098
Practice Address - Street 1:207 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:KY
Practice Address - Zip Code:42220
Practice Address - Country:US
Practice Address - Phone:270-265-2574
Practice Address - Fax:270-265-3098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY35001940Medicaid
183859OtherMEDICARE (RIVERBEND)
183859OtherMEDICARE (RIVERBEND)
KY1970801Medicare PIN