Provider Demographics
NPI:1881705127
Name:YASHWANT CHAUDHRI MD A PROF CORP
Entity type:Organization
Organization Name:YASHWANT CHAUDHRI MD A PROF CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YASHWANT
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHAUDHRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-229-1895
Mailing Address - Street 1:8770 CUYAMACA ST STE 4
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-4289
Mailing Address - Country:US
Mailing Address - Phone:619-596-9890
Mailing Address - Fax:619-596-9893
Practice Address - Street 1:8770 CUYAMACA ST STE 4
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-4289
Practice Address - Country:US
Practice Address - Phone:619-596-9890
Practice Address - Fax:619-596-9893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA676792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG94120Medicare UPIN
CAY09884Medicare UPIN