MEDICARE: DR. JYOTI R CHAWLA MD

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	207R00000X	Internal Medicine Physician	35-083558	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1528159241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JYOTI R CHAWLA MD

Provider Business Mailing Address
First Line	:	8331 AMBERLEIGH WAY
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-8896
Country	:	US
Telephone Number	:	234-222-4142
Fax Number	:

Provider Business Practice Location Address
First Line	:	9572 DUBLIN RD
Second Line	:
City	:	POWELL
State	:	OH
Zip	:	43065-8973
Country	:	US
Telephone Number	:	342-224-1422
Fax Number	:

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	05/01/2025

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