Provider Demographics
NPI:1871800763
Name:CHATAUT, HEM PRAKASH (MD)
Entity type:Individual
Prefix:DR
First Name:HEM
Middle Name:PRAKASH
Last Name:CHATAUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3129 HENDRICKS AVENUE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-4217
Mailing Address - Country:US
Mailing Address - Phone:904-398-8266
Mailing Address - Fax:904-396-4803
Practice Address - Street 1:3129 HENDRICKS AVENUE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-4217
Practice Address - Country:US
Practice Address - Phone:904-398-8266
Practice Address - Fax:904-396-4803
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME118714207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology