Provider Demographics
NPI:1992764641
Name:CHOKSI, NISHIT ARVIND (MD)
Entity type:Individual
Prefix:DR
First Name:NISHIT
Middle Name:ARVIND
Last Name:CHOKSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5250 AUTO CLUB DR STE 300
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2619
Mailing Address - Country:US
Mailing Address - Phone:313-724-9000
Mailing Address - Fax:313-562-9300
Practice Address - Street 1:5250 AUTO CLUB DR STE 300
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2619
Practice Address - Country:US
Practice Address - Phone:313-724-9000
Practice Address - Fax:313-562-9300
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME122721207RI0011X
GA077776207RI0011X
MI4301046536207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018055000Medicaid
FLIF940AMedicare UPIN
MIA77570Medicare UPIN
MIA77570Medicare UPIN
MI060057928OtherRAILROAD MEDICARE
MI0F37550OtherBCBSM
MI104145507Medicaid
MIM89900006Medicare PIN