Provider Demographics
NPI:1326221904
Name:DRS. CHHABRA & SAIT, M.D., P.A.
Entity Type:Organization
Organization Name:DRS. CHHABRA & SAIT, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-645-4320
Mailing Address - Street 1:3600 LEONARDTOWN RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-4614
Mailing Address - Country:US
Mailing Address - Phone:301-843-8663
Mailing Address - Fax:
Practice Address - Street 1:3600 LEONARDTOWN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-4614
Practice Address - Country:US
Practice Address - Phone:301-843-8663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD911391600Medicaid