Organization
RAJENDRA S CHOUHAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA S CHOUHAN M.D. (OWNER)
(817) 335-7803
Entity
Organization
Contact information
Practice address
1115 PENNSYLVANIA AVE, SUITE A, FORT WORTH, TX 76104-2153
(817) 335-7803
Mailing address
1115 PENNSYLVANIA AVE, SUITE-A, FORT WORTH, TX 76104-2153
(817) 335-7803
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E0158
TX
Other
Enumeration date
07/09/2010
Last updated
08/02/2010
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