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
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