Provider Demographics
NPI:1760447841
Name:CHAUHAN, TUSHARSINDHU CHHATRASINH (MD)
Entity Type:Individual
Prefix:DR
First Name:TUSHARSINDHU
Middle Name:CHHATRASINH
Last Name:CHAUHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:TUSHAR
Other - Middle Name:C
Other - Last Name:CHAUHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:1000 SOUTH BURNT MILL ROAD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-795-5950
Practice Address - Fax:856-795-5951
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NJ25MA07299900207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8836108Medicaid
BC7700912OtherFEDERAL DEA
NJ8836108Medicaid
054363Medicare ID - Type Unspecified