Provider Demographics
NPI:1841154390
Name:CHAUHAN, SAMISHTHA BHUSHAN (MSN, RN, NC-BC)
Entity type:Individual
Prefix:
First Name:SAMISHTHA
Middle Name:BHUSHAN
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:MSN, RN, NC-BC
Other - Prefix:
Other - First Name:SAMISHTHA
Other - Middle Name:
Other - Last Name:BHUSHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN, RM
Mailing Address - Street 1:3207 FISHER RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-1027
Mailing Address - Country:US
Mailing Address - Phone:469-664-4784
Mailing Address - Fax:
Practice Address - Street 1:3207 FISHER RD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-1027
Practice Address - Country:US
Practice Address - Phone:469-664-4784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-10
Last Update Date:2025-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8550602255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer