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NPI Code Detail

MEDICARE: RAVJYOT CHAWLA M.D.

MEDICARE: RAVJYOT CHAWLA M.D.
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
1207RC0000XCardiovascular Disease PhysicianD0064319MD
2207RC0000XCardiovascular Disease PhysicianE-20155AR
3207RC0000XCardiovascular Disease Physician0101253293VA
4207RC0000XCardiovascular Disease PhysicianMD036005DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164478129
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAVJYOT CHAWLA M.D.
Provider Business Mailing Address
First Line : PO BOX 2990
Second Line :
City : HARRISON
State : AR
Zip : 72602-2990
Country : US
Telephone Number : 870-414-4599
Fax Number : 870-741-7481
Provider Business Practice Location Address
First Line : 620 N MAIN ST STE 2B
Second Line :
City : HARRISON
State : AR
Zip : 72601-2911
Country : US
Telephone Number : 870-414-4599
Fax Number : 870-741-7481
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 12/30/2025

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Directions to “ RAVJYOT CHAWLA M.D.” Practice Location

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