Provider Demographics
NPI:1225353691
Name:CHABRA, VIKRAM (DO)
Entity Type:Individual
Prefix:DR
First Name:VIKRAM
Middle Name:
Last Name:CHABRA
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:4271 HEMPSTEAD TPKE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5708
Mailing Address - Country:US
Mailing Address - Phone:516-796-3700
Mailing Address - Fax:516-796-3205
Practice Address - Street 1:4271 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE 1
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5708
Practice Address - Country:US
Practice Address - Phone:516-796-3700
Practice Address - Fax:516-796-3205
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY266760207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease