Basic Information
Provider Information
NPI: 1629481270
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAHIL
FirstName: HARLEEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.B.B.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 ABRAHAM FLEXNER WAY STE 600
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402023841
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 201 ABRAHAM FLEXNER WAY STE 600
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402023841
CountryCode: US
TelephoneNumber: 5028525241
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/10/2014
LastUpdateDate: 03/04/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X50569KYY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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