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NPI 1578751939

NPI 1578751939 : BALBIR S CHAHAL MD PA : TOMBALL, TX

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General NPI Number Information
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    NPI Number           |    1578751939
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    Entity Type          |    Organization 
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    Legal Business Name  |    BALBIR S CHAHAL MD PA 
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Dates
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    Enumeration Date     |    10/11/2007
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    Last Update Date     |    10/07/2015
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Provider Practice Location Address
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    Address Line         |    455 SCHOOL ST SUITE 44
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    City                 |    TOMBALL
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    State                |    TX
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    Zip                  |    77375-4593
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    Country              |    US
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    Telephone            |    281-357-0661
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    Fax                  |    832-516-6655
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Provider Business Mailing Address
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    Address Line         |    455 SCHOOL ST SUITE 44
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    City                 |    TOMBALL
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    State                |    TX
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    Zip                  |    77375-4593
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    Country              |    US
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    Telephone            |    281-357-0661
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    Fax                  |    832-516-6655
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Authorized Official
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    Title or Position    |    CEO/ PRESIDENT
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    Name                 |     BALBIR SINGH CHAHAL 
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    Credential           |    MD
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    Telephone            |    281-357-0661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    K4389
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    License Number State |    TX
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