Healthcare Provider Details

I. General information

NPI: 1831501246
Provider Name (Legal Business Name): KARAMJIT KAUR CHELA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 01/25/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 POTRERO AVE BLDG 80 WD 83
SAN FRANCISCO CA
94110-2859
US

IV. Provider business mailing address

995 POTRERO AVE BLDG 80 UNIVERSITY OF CALIFORNIA SAN FRANCISCO
SAN FRANCISCO CA
94110-2859
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-8611
  • Fax: 415-206-8387
Mailing address:
  • Phone: 415-206-8611
  • Fax: 415-206-8387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA139093
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: