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NPI Code Detail

MEDICARE: DR. SUPARNA M CHHIBBER M.D.

MEDICARE: DR. SUPARNA M CHHIBBER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianM0376TX
2207QG0300XGeriatric Medicine (Family Medicine) PhysicianM0376TX

General Provider Information

NPI Number : 1104808765
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUPARNA M CHHIBBER M.D.
Provider Business Mailing Address
First Line : 1026 BLACKHAW ST STE 102
Second Line :
City : HOUSTON
State : TX
Zip : 77079-1002
Country : US
Telephone Number : 281-493-3681
Fax Number : 281-589-1465
Provider Business Practice Location Address
First Line : 1026 BLACKHAW ST STE 102
Second Line :
City : HOUSTON
State : TX
Zip : 77079-1002
Country : US
Telephone Number : 281-493-3681
Fax Number : 281-589-1465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 12/06/2025

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Directions to “ DR. SUPARNA M CHHIBBER M.D.” Practice Location

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