Provider Demographics
NPI:1912164575
Name:CHOHAN, HADI SIRAJ (MD)
Entity Type:Individual
Prefix:DR
First Name:HADI
Middle Name:SIRAJ
Last Name:CHOHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1222 S ORANGE AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1215
Mailing Address - Country:US
Mailing Address - Phone:321-841-7586
Mailing Address - Fax:321-843-6432
Practice Address - Street 1:610 JASMINE RD
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4817
Practice Address - Country:US
Practice Address - Phone:407-841-1100
Practice Address - Fax:407-767-8128
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME118775207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012582300Medicaid
FLHV576ZMedicare PIN