Provider Demographics
NPI:1760478861
Name:CHAUHAN, NARENDRA (MD)
Entity Type:Individual
Prefix:
First Name:NARENDRA
Middle Name:
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 1:13236 N 7TH ST
Mailing Address - Street 2:STE 4-256
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-5343
Mailing Address - Country:US
Mailing Address - Phone:602-451-7558
Mailing Address - Fax:602-992-7656
Practice Address - Street 1:13236 N 7TH ST
Practice Address - Street 2:STE 4-256
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-5343
Practice Address - Country:US
Practice Address - Phone:602-451-7558
Practice Address - Fax:602-992-7656
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ162012084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE82226Medicare UPIN
AZZ80004Medicare ID - Type Unspecified
AZ108466Medicare PIN