Basic Information
| Provider Information | |||||||||
| NPI: | 1497754881 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHHABRA | ||||||||
| FirstName: | INDERPAL | ||||||||
| MiddleName: | SINGH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26619 UNION TPKE | ||||||||
| Address2: | |||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110401426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183470434 | ||||||||
| FaxNumber: | 7183470517 | ||||||||
| Practice Location | |||||||||
| Address1: | 26619 UNION TPKE | ||||||||
| Address2: | |||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110401426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183470434 | ||||||||
| FaxNumber: | 7183470517 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2005 | ||||||||
| LastUpdateDate: | 08/05/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 220535 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 01880753 | 05 | NY | MEDICAID |