Provider Demographics
NPI:1649963588
Name:CHAUHAN, KUNAL
Entity type:Individual
Prefix:MR
First Name:KUNAL
Middle Name:
Last Name:CHAUHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7743 JOSHUA ST
Mailing Address - Street 2:
Mailing Address - City:JURUPA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92509-3317
Mailing Address - Country:US
Mailing Address - Phone:951-538-2544
Mailing Address - Fax:
Practice Address - Street 1:7743 JOSHUA ST
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92509-3317
Practice Address - Country:US
Practice Address - Phone:951-538-2544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)