Individual
AJAY CHAWLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 AUBURN AVE, SUITE 2, SHELBY, OH 44875-1104
(419) 342-4242
Mailing address
2356 WOODLAND PARK DR, ONTARIO, OH 44903-8586
(419) 747-6164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35079605C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340883
ANTHEM
OH
01
—
2254712
CIGNA
OH
05
—
2264866
—
OH
01
—
P00169283
RR MEDICARE
OH
Enumeration date
07/06/2006
Last updated
01/21/2011
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