MEDICARE: DR. INDERJIT CHABRA MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ND0101X	MOHS-Micrographic Surgery Physician	27328	NE
2	207ND0101X	MOHS-Micrographic Surgery Physician	8447	SD
3	207N00000X	Dermatology Physician	59743	AZ
4	207N00000X	Dermatology Physician	27328	NE
5	207N00000X	Dermatology Physician	40345	IA
6	207N00000X	Dermatology Physician	8447	SD
7	207ND0101X	MOHS-Micrographic Surgery Physician	59743	AZ
8	207ND0101X	MOHS-Micrographic Surgery Physician	40345	IA

General Provider Information

NPI Number	:	1003079773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. INDERJIT CHABRA MD, PHD

Provider Business Mailing Address
First Line	:	4715 E. CAMP LOWELL DRIVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1256
Country	:	US
Telephone Number	:	520-433-7000
Fax Number	:	520-300-8013

Provider Business Practice Location Address
First Line	:	4715 E. CAMP LOWELL DRIVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1256
Country	:	US
Telephone Number	:	520-955-8395
Fax Number	:	520-300-8013

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	03/12/2026

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