Provider Demographics
NPI:1376799395
Name:CHHABLANI, RAHUL K (MD)
Entity Type:Individual
Prefix:
First Name:RAHUL
Middle Name:K
Last Name:CHHABLANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 S BARRINGTON AVE
Mailing Address - Street 2:#102
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-4348
Mailing Address - Country:US
Mailing Address - Phone:630-915-1716
Mailing Address - Fax:
Practice Address - Street 1:514 S BARRINGTON AVE
Practice Address - Street 2:#102
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-4348
Practice Address - Country:US
Practice Address - Phone:630-915-1716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-10
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036115659207RG0100X
CAA106762207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology