Provider Demographics
NPI:1700124427
Name:CHAVAN, NIRAJ R (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:NIRAJ
Middle Name:R
Last Name:CHAVAN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF KENTUCKY HEALTHCARE
Mailing Address - Street 2:800 ROSE ST; DEPT. OF OBSTETRICS & GYNECOLOGY: C:360
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0293
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF KENTUCKY HEALTHCARE
Practice Address - Street 2:800 ROSE ST; DEPT. OF OBSTETRICS & GYNECOLOGY: C:360
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-323-6434
Practice Address - Fax:859-257-1305
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY46810207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology