Healthcare Provider Details

I. General information

NPI: 1538246061
Provider Name (Legal Business Name): GUL CHABLANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19785 CRYSTAL ROCK DR STE 310
GERMANTOWN MD
20874-4732
US

IV. Provider business mailing address

19785 CRYSTAL ROCK DR STE 310
GERMANTOWN MD
20874-4732
US

V. Phone/Fax

Practice location:
  • Phone: 301-528-0571
  • Fax: 301-468-6762
Mailing address:
  • Phone: 301-528-0571
  • Fax: 301-468-6762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberD42518
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD42518
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: