Chaurasia, Om P
Chaurasia, Om P is an individual health care provider with primary practice located at 26421 Crown Valley Pkwy Suite 140A, Mission Viejo CA 92691-8564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chaurasia, Om P can be contacted via phone (949) 365-8836.Contact Information
Primary practice address
26421 Crown Valley Pkwy Suite 140A
Mission Viejo CA 92691-8564
Phone: (949) 365-8836
Fax: (949) 365-8837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A50815 | California |
Profile Details
| NPI number | 1528136702 |
|---|---|
| LBN Legal business name | Chaurasia, Om P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528136702 | NPPES |
| California | Other | 00A508150 | BLUE SHIELD PROVIDER |
| California | Other | W14853 | BLUE SHIELD PROVIDER |
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