Provider Demographics
NPI:1376672287
Name:CHADHA, JANG B (MD, FACP,FCCP, FAASM)
Entity Type:Individual
Prefix:DR
First Name:JANG
Middle Name:B
Last Name:CHADHA
Suffix:
Gender:M
Credentials:MD, FACP,FCCP, FAASM
Other - Prefix:
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Mailing Address - Street 1:POST OFFICE BOX 310
Mailing Address - Street 2:PORT WASHINGTON
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11050
Mailing Address - Country:US
Mailing Address - Phone:718-544-6660
Mailing Address - Fax:516-883-6659
Practice Address - Street 1:11203 QUEENS BLVD STE 201
Practice Address - Street 2:FOREST HILLS
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5550
Practice Address - Country:US
Practice Address - Phone:718-544-6660
Practice Address - Fax:718-544-6670
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY149446207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC06889Medicare UPIN
NY05844Medicare ID - Type Unspecified