Individual
GURKIRAT S CHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
316 W 161ST ST, WESTFIELD, IN 46074-8566
(131) 786-7055
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004538A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
06/24/2024
Last updated
12/03/2024
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