Provider Demographics
NPI:1316206378
Name:CHHABRA, AMITASHILPA MOHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMITASHILPA
Middle Name:MOHAN
Last Name:CHHABRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMITA
Other - Middle Name:SHILPA
Other - Last Name:MOHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5295 PRESERVE PKWY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4701
Mailing Address - Country:US
Mailing Address - Phone:205-682-9124
Mailing Address - Fax:205-682-9131
Practice Address - Street 1:5295 PRESERVE PKWY
Practice Address - Street 2:SUITE 240
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4701
Practice Address - Country:US
Practice Address - Phone:205-682-9124
Practice Address - Fax:205-682-9131
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALM.D 34426207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine