# HANNAN CHAUGLE M.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Valley cardio Vascular & Thoracic Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073775417
- **Authorized official:** DR. HANNAN CHAUGLE M.D. (PRESIDENT)
- **Authorized official phone:** (503) 975-8455

## Contact information

- **Practice address:** 1401 SPANOS CT STE 125, MODESTO, CA 95355-2814
- **Practice address phone:** (503) 975-8455
- **Mailing address:** 1401 SPANOS CT STE 125, MODESTO, CA 95355-2814
- **Mailing address phone:** (503) 975-8455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A97091 | CA | Yes |

## Other

- **Enumeration date:** 06/26/2008
- **Last updated:** 06/26/2008