Provider Demographics
NPI:1649880972
Name:CHAUHAN, VARUN (NP)
Entity type:Individual
Prefix:
First Name:VARUN
Middle Name:
Last Name:CHAUHAN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:318-966-6300
Mailing Address - Fax:318-966-6301
Practice Address - Street 1:312 GRAMMONT ST STE 410
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-7411
Practice Address - Country:US
Practice Address - Phone:318-966-6300
Practice Address - Fax:318-966-6301
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-02
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA214822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA214822OtherSTATE LICENSE