Healthcare Provider Details

I. General information

NPI: 1063864007
Provider Name (Legal Business Name): ANUREET CHAHAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2016
Last Update Date: 07/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 W TOBIAS ST
FLINT MI
48503-3975
US

IV. Provider business mailing address

304 W TOBIAS ST
FLINT MI
48503-3975
US

V. Phone/Fax

Practice location:
  • Phone: 810-233-4093
  • Fax:
Mailing address:
  • Phone: 810-233-4093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: