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Individual

VIJAY CHAWLA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 434-1092
(507) 434-1477
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 434-1092
(507) 434-1477

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37868
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
370011810
MEDICARE RAILROAD
MN
05
902225200
MN
Enumeration date
12/08/2005
Last updated
07/08/2007
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