Provider Demographics
NPI:1881858702
Name:CHOUCHANI, CHRISTIAN PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:PAUL
Last Name:CHOUCHANI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 EDWARD STREET
Mailing Address - Street 2:APT 2F
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201
Mailing Address - Country:US
Mailing Address - Phone:716-951-0461
Mailing Address - Fax:
Practice Address - Street 1:30 NORTH UNION RD SUITE 101
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-633-6363
Practice Address - Fax:716-633-4419
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60266351207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology