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Individual

VIJAI V CHAUHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
525 COUCH AVE, SAINT LOUIS, MO 63122-5536
(314) 966-1500
Mailing address
1836 LACKLAND HILL PKWY, ATTN: CREDENTIALING, SAINT LOUIS, MO 63146-3572
(314) 989-0300
(314) 810-1399

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
101597
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207241605
MO
01
P00274303
RR MEDICARE
MO
Enumeration date
08/04/2006
Last updated
03/02/2020
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