Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | E9158 | TX |
NPI | 1033262605 |
---|---|
Provider Name | Dr. Rajendra Singh Chouhan |
First Address | Fort Worth, TX 76104-2153 |
Second Address | Fort Worth, TX 76104-2153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 27/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0323156-01 | (05) | TX |
C21858 | (02) | TX |