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NPI Code Detail

MEDICARE: DR. ANIL CHAWLA MD

MEDICARE:  DR. ANIL  CHAWLA  MD
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
1207R00000XInternal Medicine Physician01038935IN
2208M00000XHospitalist Physician01038935AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000079479OTHERINANTHEM BCBS PROVIDER PIN
310780921OTHERINCAQH NUMBER
491115450OTHERILBCBS IL PROVIDER NUMBER

General Provider Information

NPI Number : 1922066760
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANIL CHAWLA MD
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1076
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 3500 FRANCISCAN WAY
Second Line :
City : MICHIGAN CITY
State : IN
Zip : 46360-0021
Country : US
Telephone Number : 219-852-1524
Fax Number : 219-933-2288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 04/14/2023

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Directions to “ DR. ANIL CHAWLA MD” Practice Location

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