Provider Demographics
NPI:1104812437
Name:CHAUHAN, RAJEEV (MD)
Entity type:Individual
Prefix:DR
First Name:RAJEEV
Middle Name:
Last Name:CHAUHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6228 BRADLEY PARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3603
Mailing Address - Country:US
Mailing Address - Phone:706-322-1486
Mailing Address - Fax:706-324-3419
Practice Address - Street 1:6228 BRADLEY PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3603
Practice Address - Country:US
Practice Address - Phone:706-322-1486
Practice Address - Fax:706-324-3419
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA53587207RN0300X
AL25539207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA60032381OtherBCBS AL
GA52071838OtherBCBS GA
GA896218377EMedicaid
GAP00152204OtherRAILROAD MEDICARE
AL009935035Medicaid
GA896218377AMedicaid
AL009931215Medicaid
AL51518197OtherBCBS AL
GA896218377EMedicaid
AL009935035Medicaid
GA52071838OtherBCBS GA