Individual
GAURAV CHAUHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DEPT. OF ANESTHESIOLOGY, HENRY FORD HOSPITAL, DETROIT, MI 48202-2608
(313) 916-8445
Mailing address
1350 W BETHUNE ST, APT. NO. 1607, DETROIT, MI 48202-2600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101280406
VA
207L00000X
Anesthesiology Physician
01092796A
IN
207L00000X
Anesthesiology Physician
Primary
4301108071
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101280406
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
01092796A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100790914
ANTHEM PTAN
IN
05
—
300089347
—
IN
Enumeration date
08/15/2015
Last updated
11/26/2024
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