MEDICARE: VINKY CHADHA 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	036088718	IL
2	207R00000X	Internal Medicine Physician	G148037	CA

General Provider Information

NPI Number	:	1659335065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINKY CHADHA MD

Provider Business Mailing Address
First Line	:	150 N ROBERTSON BLVD STE 150
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2171
Country	:	US
Telephone Number	:	310-740-2970
Fax Number	:	424-389-5016

Provider Business Practice Location Address
First Line	:	150 N ROBERTSON BLVD STE 150
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2171
Country	:	US
Telephone Number	:	310-740-2970
Fax Number	:	424-389-5016

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	07/06/2022

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Directions to “ VINKY CHADHA MD” Practice Location

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