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Individual

MR. BOOTA S CHAHIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
117 N AKERS ST, VISALIA, CA 93291
(559) 625-0202
(559) 625-6077
Mailing address
117 N AKERS ST, VISALIA, CA 93291
(559) 625-0202
(661) 206-4081

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A52835
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A528350
CA
Enumeration date
11/21/2006
Last updated
06/14/2012
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