Individual
GAGAN S CHADHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1569
(765) 497-2428
(765) 497-4251
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01048719A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200212530
—
IN
Enumeration date
03/11/2006
Last updated
03/22/2021
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