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Individual

DR. SANTIAGO H CHAHWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2450 GOODLETTE RD N, SUITE 102, NAPLES, FL 34103-4595
(239) 643-8794
(239) 430-7820
Mailing address
2450 GOODLETTE RD N, SUITE 102, NAPLES, FL 34103-4595
(239) 643-8794
(239) 430-7820

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME98609
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278222700
FL
01
96302
BC/BS PROVIDER#
FL
01
ME98609
STATE LICENSE
FL
Enumeration date
05/09/2007
Last updated
07/07/2011
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