Provider Demographics
NPI:1942499033
Name:CHAVAN, SUMEET NARESH (MD)
Entity Type:Individual
Prefix:
First Name:SUMEET
Middle Name:NARESH
Last Name:CHAVAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:401 S BALLENGER HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3638
Mailing Address - Country:US
Mailing Address - Phone:810-342-1000
Mailing Address - Fax:810-342-1591
Practice Address - Street 1:4085 DE ZAVALA RD STE 200
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78249-2084
Practice Address - Country:US
Practice Address - Phone:210-558-6288
Practice Address - Fax:810-720-3970
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2024-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN7067207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine