Organization
NORTHEAST PEDIATRIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVINASH CHANDRA CHAWLA M.D. (OWNER)
(248) 856-6300
Entity
Organization
Contact information
Practice address
75 BARCLAY CIR, SUITE 115, ROCHESTER HILLS, MI 48307-5820
(248) 856-6300
(248) 856-6303
Mailing address
75 BARCLAY CIR, SUITE 115, ROCHESTER HILLS, MI 48307-5820
(248) 856-6300
(248) 856-6303
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC032605
STATE LICENSE
MI
01
—
KH074131
STATE LICENSE
MI
01
—
SA078409
STATE LICENSE
MI
01
—
SL068132
STATE LICENSE
MI
01
—
TS039701
STATE LICENSE
MI
Enumeration date
06/10/2006
Last updated
10/13/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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