=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205877958
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SANT P CHAWLA M D INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/10/2006
-----------------------------------------------------
Last Update Date | 12/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2811 WILSHIRE BLVD. SUITE #414
-----------------------------------------------------
City | SANTA MONICA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-552-9999
-----------------------------------------------------
Fax | 310-201-6685
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2811 WILSHIRE BLVD STE 414
-----------------------------------------------------
City | SANTA MONICA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90403-4804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-552-9999
-----------------------------------------------------
Fax | 310-201-6685
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATIVE MANAGER
-----------------------------------------------------
Name | AFAG MURAD-ALI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 310-552-9999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------