Healthcare Provider Details

I. General information

NPI: 1073190310
Provider Name (Legal Business Name): JASMEEN KAUR CHAHIL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3632 W PACKWOOD AVE
VISALIA CA
93277-5033
US

IV. Provider business mailing address

400 W MINERAL KING AVE
VISALIA CA
93291-6237
US

V. Phone/Fax

Practice location:
  • Phone: 559-734-6701
  • Fax:
Mailing address:
  • Phone: 559-624-4820
  • Fax: 559-635-6126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number193977
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: