# RAJENDRA S CHOUHAN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528370210
- **Authorized official:** DR. RAJENDRA S CHOUHAN M.D. (OWNER)
- **Authorized official phone:** (817) 335-7803

## Contact information

- **Practice address:** 1115 PENNSYLVANIA AVE, SUITE A, FORT WORTH, TX 76104-2153
- **Practice address phone:** (817) 335-7803
- **Mailing address:** 1115 PENNSYLVANIA AVE, SUITE-A, FORT WORTH, TX 76104-2153
- **Mailing address phone:** (817) 335-7803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | E0158 | TX | Yes |

## Other

- **Enumeration date:** 07/09/2010
- **Last updated:** 08/02/2010