Provider Demographics
NPI:1245215102
Name:CHHINA, NAVDEEP KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVDEEP
Middle Name:KAUR
Last Name:CHHINA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:229-776-4452
Practice Address - Street 1:2400 MT. ZION PARKWAY
Practice Address - Street 2:KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236
Practice Address - Country:US
Practice Address - Phone:770-603-3649
Practice Address - Fax:229-776-4452
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA052156207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA410840419AMedicaid
GA410840419AMedicaid
GA11BDXBGMedicare ID - Type Unspecified