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Individual

HITENDRA CHAUHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1840 MESQUITE AVE, STE. B, LAKE HAVASU CITY, AZ 86403-5771
(928) 453-8500
(928) 453-3660
Mailing address
1840 MESQUITE AVE STE C, LAKE HAVASU CITY, AZ 86403-5771
(928) 854-0060
(877) 264-7602

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
24680
AZ
207RG0100X
Gastroenterology Physician
Primary
24680
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100009002
RAILROAD MEDICARE
AZ
Enumeration date
08/10/2005
Last updated
09/08/2021
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