Provider Demographics
NPI:1023082369
Name:CHOVANES, GEORGE I (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:I
Last Name:CHOVANES
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 1:3855 W CHESTER PIKE
Mailing Address - Street 2:SUITE 245
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2304
Mailing Address - Country:US
Mailing Address - Phone:610-325-3880
Mailing Address - Fax:610-325-3887
Practice Address - Street 1:3855 W CHESTER PIKE
Practice Address - Street 2:SUITE 245
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2304
Practice Address - Country:US
Practice Address - Phone:610-325-3880
Practice Address - Fax:610-325-3887
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029039E207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB41001Medicare UPIN
PA192798HK1Medicare PIN
PAB41001Medicare UPIN