Organization
AJAY CHAWLA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY CHAWLA MD (OWNER)
(419) 342-4242
Entity
Organization
Contact information
Practice address
110 AUBURN AVE STE 2, SHELBY, OH 44875-1171
(419) 342-4242
(419) 347-1873
Mailing address
110 AUBURN AVE STE 2, SHELBY, OH 44875-1171
(419) 342-4242
(419) 347-1873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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