Chaudhari, Prakashchandra Jivrambhai

Chaudhari, Prakashchandra Jivrambhai is an individual health care provider with primary practice located at 4301 N Star Way , Modesto CA 95356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Chaudhari, Prakashchandra Jivrambhai can be contacted via phone (209) 577-1200.

Contact Information

Primary practice address
4301 N Star Way Modesto CA 95356
Phone: (209) 577-1200
Fax: (209) 577-6517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 8960 Nevada
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 8960 Nevada
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X C52642 California

Profile Details

NPI number 1518073451
LBN Legal business name Chaudhari, Prakashchandra Jivrambhai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jun 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518073451 NPPES
Nevada MEDICAID 200290424

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