Individual
DR. SURENDRA K CHAWLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 ASYLUM AVE, SUITE 3201A, HARTFORD, CT 06105-1770
(860) 714-1094
(860) 714-8850
Mailing address
1000 ASYLUM AVE, SUITE 3201A, HARTFORD, CT 06105-1770
(860) 714-1094
(860) 714-8850
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
018076
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001180769
—
CT
Enumeration date
08/16/2005
Last updated
05/07/2008
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