Basic Information
| Provider Information | |||||||||
| NPI: | 1851622476 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHUGH | ||||||||
| FirstName: | SAVNEEK | ||||||||
| MiddleName: | SINGH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19 BRADHURST AVE | ||||||||
| Address2: | SUITE 200N | ||||||||
| City: | HAWTHORNE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105322144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144937701 | ||||||||
| FaxNumber: | 9143450653 | ||||||||
| Practice Location | |||||||||
| Address1: | 19 BRADHURST AVE | ||||||||
| Address2: | SUITE 200N | ||||||||
| City: | HAWTHORNE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105322144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144937701 | ||||||||
| FaxNumber: | 9143450653 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/21/2010 | ||||||||
| LastUpdateDate: | 08/04/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 270571 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | A400087355 | 01 | NY | MEDICARE PTAN | OTHER | A400087356 | 01 | NY | MEDICARE PTAN | OTHER | 03492748 | 05 | NY | MEDICAID |