Provider Demographics
NPI:1174774335
Name:CHOKSI, RACHANA D (DMD)
Entity type:Individual
Prefix:DR
First Name:RACHANA
Middle Name:D
Last Name:CHOKSI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5337 SW 183RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-6310
Mailing Address - Country:US
Mailing Address - Phone:786-253-5504
Mailing Address - Fax:305-265-4414
Practice Address - Street 1:1881 N UNIVERSITY DR
Practice Address - Street 2:SUITE 208
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8915
Practice Address - Country:US
Practice Address - Phone:954-755-1014
Practice Address - Fax:954-755-1028
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN185051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice