Provider Demographics
NPI:1306818703
Name:CHAWLA, JASPAL S (MD)
Entity Type:Individual
Prefix:DR
First Name:JASPAL
Middle Name:S
Last Name:CHAWLA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:16 NW 63RD ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-9116
Mailing Address - Country:US
Mailing Address - Phone:405-419-8420
Mailing Address - Fax:405-419-7745
Practice Address - Street 1:10001 S WESTERN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-2997
Practice Address - Country:US
Practice Address - Phone:405-691-4520
Practice Address - Fax:405-692-3349
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OK11357207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKD34492Medicare UPIN