Basic Information
| Provider Information | |||||||||
| NPI: | 1316273956 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHHADUA | ||||||||
| FirstName: | RAJ | ||||||||
| MiddleName: | MILAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2735 | ||||||||
| Address2: | |||||||||
| City: | FRISCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750340051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2144222598 | ||||||||
| FaxNumber: | 4698888448 | ||||||||
| Practice Location | |||||||||
| Address1: | 3010 LEGACY DR STE 110 | ||||||||
| Address2: | |||||||||
| City: | FRISCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750347629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4692942001 | ||||||||
| FaxNumber: | 4698888448 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2009 | ||||||||
| LastUpdateDate: | 11/11/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 051293117 | IL | N | Pharmacy Service Providers | Pharmacist | 183500000X | 41334 | TX | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.