Healthcare Provider Details

I. General information

NPI: 1386752707
Provider Name (Legal Business Name): PUNEET S CHAHAL DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 MAIN ST STE 1
OLEAN NY
14760-1593
US

IV. Provider business mailing address

535 MAIN ST STE 1
OLEAN NY
14760-1593
US

V. Phone/Fax

Practice location:
  • Phone: 716-372-0141
  • Fax: 716-372-6421
Mailing address:
  • Phone: 716-372-0141
  • Fax: 585-625-0100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN005962-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberN005962-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: