Individual
ANWANTBIR CHAWLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 SMART PL, SLIDELL, LA 70458-2040
(985) 774-6377
(985) 726-5158
Mailing address
1375 CORPORATE SQUARE DR, SLIDELL, LA 70458-3147
(985) 726-2655
(985) 643-9808
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10977R
LA
2084P0800X
Psychiatry Physician
12352
MS
2084P0800X
Psychiatry Physician
MD0000020057
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014057
—
MS
05
—
1923176
—
LA
01
—
990007717
RAILROAD MEDICARE
—
Enumeration date
11/03/2005
Last updated
10/18/2013
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