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Individual

RAJ KIRAN CHAWLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3365 S 103RD ST STE 210, MILWAUKEE, WI 53227-4161
(262) 814-7080
(262) 432-9004
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7451
(414) 266-6238

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67325
WI
207Q00000X
Family Medicine Physician
BP10050944
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437563657
WI
Enumeration date
06/16/2014
Last updated
08/12/2020
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