Provider Demographics
NPI:1194852467
Name:CHAVARKAR, MILAN GUPTA (CNM, FNP)
Entity type:Individual
Prefix:MS
First Name:MILAN
Middle Name:GUPTA
Last Name:CHAVARKAR
Suffix:
Gender:F
Credentials:CNM, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 LEAL WAY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-3903
Mailing Address - Country:US
Mailing Address - Phone:510-449-1002
Mailing Address - Fax:408-337-2767
Practice Address - Street 1:200 W CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-1030
Practice Address - Country:US
Practice Address - Phone:408-337-2767
Practice Address - Fax:408-337-2767
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13268363LF0000X
CACNM1358367A00000X
CANP13268363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP84435Medicare UPIN