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Individual

ELIE JEAN CHAHLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011020278
MO
207RG0100X
Gastroenterology Physician
036140401
IL
207RG0100X
Gastroenterology Physician
Primary
2011020278
MO
208M00000X
Hospitalist Physician
2011020278
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205082633
MO
Enumeration date
08/18/2008
Last updated
03/07/2019
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