Provider Demographics
NPI:1962678573
Name:CHAUHAN, BELA VINOD (RPH)
Entity Type:Individual
Prefix:MRS
First Name:BELA
Middle Name:VINOD
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37355 8 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1148
Mailing Address - Country:US
Mailing Address - Phone:248-474-8657
Mailing Address - Fax:248-474-8272
Practice Address - Street 1:37355 8 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1148
Practice Address - Country:US
Practice Address - Phone:248-474-8657
Practice Address - Fax:248-474-8272
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-03
Last Update Date:2008-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302031642183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist