Provider Demographics
NPI:1003886144
Name:CHAWLA, HARPERMINDER BEDI (MD)
Entity Type:Individual
Prefix:DR
First Name:HARPERMINDER
Middle Name:BEDI
Last Name:CHAWLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:CHAWLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2401 W WRANGLER BLVD
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:OK
Mailing Address - Zip Code:74868-1917
Mailing Address - Country:US
Mailing Address - Phone:405-303-4167
Mailing Address - Fax:405-303-4156
Practice Address - Street 1:2401 W WRANGLER BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:OK
Practice Address - Zip Code:74868-1917
Practice Address - Country:US
Practice Address - Phone:405-303-4167
Practice Address - Fax:405-303-4156
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12031208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100226730BMedicaid
OK100226730BMedicaid