Dr. Sunny R Chavan, M.D
Family Medicine in Brockton, MA. Individual provider (NPI-1).
NPI number1154619682
StatusActive
Last updated in NPPESOct 2, 2018
Details
- NPI
- 1154619682
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sunny R Chavan
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2011
- Last updated
- Oct 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 257971 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4301098053 | MI |
Practice location
63 Main StBrockton, MA 02301-4042
Phone 508-559-6699 · Fax 508-559-5073
Mailing address
63 Main StBrockton, MA 02301-4042
Phone 508-559-6699 · Fax 508-559-5073
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