Individual
PRAKASHCHANDRA JIVRAMBHAI CHAUDHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 N STAR WAY, MODESTO, CA 95356
(209) 577-1200
(209) 577-6517
Mailing address
PO BOX 576768, MODESTO, CA 95357-6768
(209) 577-1200
(209) 577-6517
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
8960
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
8960
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C52642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200290424
—
NV
Enumeration date
08/22/2006
Last updated
06/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us