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Individual

DR. INDER CHAWLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7600 CARROLL AVE, TAKOMA PARK, MD 20912-6367
(301) 891-5393
(301) 891-6184
Mailing address
PO BOX 59236, POTOMAC, MD 20859-9236
(301) 469-6242
(301) 983-6286

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D25162
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001
BCBS
DC
05
010624100
DC
01
23118
MAMSI/MDIPA/OPTIMUM CHOIC
01
409433
MEDICARE PTAN
MD
01
41189401
BCBS
MD
01
4608
AETNA
05
786001300
MD
Enumeration date
06/12/2006
Last updated
06/16/2016
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