Provider Demographics
NPI:1235210808
Name:CHHATWAL, BALWANT KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:BALWANT
Middle Name:KAUR
Last Name:CHHATWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BALWANT
Other - Middle Name:KAUR
Other - Last Name:SANGARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 134
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-0134
Mailing Address - Country:US
Mailing Address - Phone:732-367-7110
Mailing Address - Fax:732-364-7054
Practice Address - Street 1:705 CANDLEWOOD COMMONS
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2174
Practice Address - Country:US
Practice Address - Phone:732-367-7110
Practice Address - Fax:732-364-7054
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44259207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ011432Medicare PIN
NJC52479Medicare UPIN