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General NPI Number Information
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NPI Number | 1518960988
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Entity Type | Organization
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Legal Business Name | CHHABRA MEDICAL CORPORATION PC
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 6375 US HIGHWAY 6
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City | PORTAGE
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State | IN
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Zip | 46368-5111
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Country | US
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Telephone | 219-762-3196
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Fax | 219-763-6438
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Provider Business Mailing Address
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Address Line | 6375 US HIGHWAY 6
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City | PORTAGE
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State | IN
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Zip | 46368-5111
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Country | US
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Telephone | 219-762-3196
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Fax | 219-763-6438
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BHUPINDAR CHHABRA
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Credential | M.D.
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Telephone | 219-762-3196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 50003261A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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