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NPI Code Detail

MEDICARE: RAKHEE CHAWLA DDS

MEDICARE: RAKHEE CHAWLA DDS
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
1122300000XDentist29212TX

General Provider Information

NPI Number : 1902245871
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAKHEE CHAWLA DDS
Provider Business Mailing Address
First Line : 465 MEADOW RD APT 10206
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-6366
Country : US
Telephone Number : 732-804-4152
Fax Number :
Provider Business Practice Location Address
First Line : 3030 LBJ FWY STE 1400
Second Line :
City : DALLAS
State : TX
Zip : 75234-2766
Country : US
Telephone Number : 732-804-4152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2013
Last Update Date : 06/24/2013

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Directions to “ RAKHEE CHAWLA DDS” Practice Location

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