Provider Demographics
NPI:1104591528
Name:CHOKSHI, HITENDRA
Entity type:Individual
Prefix:DR
First Name:HITENDRA
Middle Name:
Last Name:CHOKSHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 S RAINBOW BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1855
Mailing Address - Country:US
Mailing Address - Phone:027-457-2100
Mailing Address - Fax:702-457-2122
Practice Address - Street 1:5625 S RAINBOW BLVD STE F
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1855
Practice Address - Country:US
Practice Address - Phone:702-457-2100
Practice Address - Fax:702-457-2122
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV108033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV10803Other10803