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SREEDHAR CHAVA MD INC NPI 1104163781


NPI Information

NPI: 1104163781
Provider Name: SREEDHAR CHAVA MD INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2058351

Address:
1651 N HACIENDA BLVD
LA PUENTE, CA
ZIP 91744
Phone: (626) 917-8700
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SREEDHAR CHAVA MD INC is a family medicine in La Puente, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SREEDHAR CHAVA MD INC NPI is 1104163781. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1651 N HACIENDA BLVD
LA PUENTE, CA
ZIP 91744-137
Phone: (626) 917-8700
Fax: (626) 917-8600

The provider's authorized official is Sreedhar Chava .
The authorized official title is Md/president and has the following contact phone number (626) 444-2660.

The CLIA number assigned to this NPI record is 05D2058351 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2013 and was last updated on 3/21/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyNo
2363A00000XPhysician AssistantNo
3363AM0700XPhysician AssistantMedicalNo
4174400000XSpecialistNo
5207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.