Provider Demographics
NPI:1922107317
Name:NARENDRA CHAUHAN,MD.,PLLC
Entity Type:Organization
Organization Name:NARENDRA CHAUHAN,MD.,PLLC
Other - Org Name:NARENDRA CHAUHAN,MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NARENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-451-7558
Mailing Address - Street 1:13236 N 7TH ST
Mailing Address - Street 2:SUITE# 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:SUITE# 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ162012084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Not Answered2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ297194Medicaid
AZE82226Medicare UPIN
AZZ108466Medicare ID - Type UnspecifiedINDIVIDUAL
AZ297194Medicaid