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Individual

BOBBY CHAWLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3123 MEDICAL DR, CALDWELL, ID 83605
(208) 367-3131
(208) 367-4817
Mailing address
3340 E GLADSTONE DR., MERIDIAN, ID 83642
(208) 367-3131
(208) 367-4817

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-051396
IL
207RH0003X
Hematology & Oncology Physician
Primary
O-0975
ID

Other

Enumeration date
08/09/2007
Last updated
04/21/2020
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