11D0955763 CLIA NUMBER - CHHOKAR & CHHOKAR MD PC DBA CHHOKAR CLINIC

Laboratory Demographics

CLIA Number: 11D0955763

Facility Name: CHHOKAR & CHHOKAR MD PC DBA CHHOKAR CLINIC

Facility Address:
2300 MANCHESTER EXPY BUTLER PAVILION, STE 1001
COLUMBUS, GA
ZIP 31904
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Facility Phone Number: 706 322-0528

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255709150

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	11D0955763
LAB Type	Physician Office
Facility Name	CHHOKAR & CHHOKAR MD PC DBA CHHOKAR CLINIC
Street	2300 MANCHESTER EXPY BUTLER PAVILION, STE 1001
City	COLUMBUS
State	GA
ZIP	31904
Phone	706 322-0528
CertificateType	4
CertificateEffectiveDate	1/11/2023
CertificateExpirationDate	1/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024