Healthcare Provider Details

I. General information

NPI: 1457290033
Provider Name (Legal Business Name): DR. NEELAM CHAHAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7575 GRAND RIVER RD STE 209
BRIGHTON MI
48114-9379
US

IV. Provider business mailing address

6400 BARRIE RD APT 1407
EDINA MN
55435-2320
US

V. Phone/Fax

Practice location:
  • Phone: 810-844-7950
  • Fax:
Mailing address:
  • Phone: 763-412-9525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: