Individual
AMIT CHAUHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142
(262) 948-7008
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54725
WI
208M00000X
Hospitalist Physician
Primary
54725
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012581
—
WI
Enumeration date
01/30/2008
Last updated
02/29/2024
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