Provider Demographics
NPI:1073761920
Name:CHHABRA, SHAIRY (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAIRY
Middle Name:
Last Name:CHHABRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAIRY
Other - Middle Name:
Other - Last Name:SETHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 BROOKDALE PLAZA
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212
Mailing Address - Country:US
Mailing Address - Phone:718-240-5000
Mailing Address - Fax:
Practice Address - Street 1:1 BROOKDALE PLAZA
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-240-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251847207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03132258Medicaid
NYA400015011Medicare PIN
NYA400015004Medicare PIN
NYG400002906Medicare PIN
NYA400015002Medicare PIN
NYA400015003Medicare PIN
NY03132258Medicaid
NYA400015007Medicare PIN
NYA400015005Medicare PIN