Provider Demographics
NPI:1124288253
Name:CHUGHTAI, HASAN (DO)
Entity type:Individual
Prefix:DR
First Name:HASAN
Middle Name:
Last Name:CHUGHTAI
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18016 WEXFORD TER STE CB
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3004
Mailing Address - Country:US
Mailing Address - Phone:516-527-8688
Mailing Address - Fax:
Practice Address - Street 1:18016 WEXFORD TER STE CB
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3004
Practice Address - Country:US
Practice Address - Phone:516-527-8688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62469208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation