Provider Demographics
NPI:1407890239
Name:CHHABRA, YASHPAL (PT)
Entity Type:Individual
Prefix:
First Name:YASHPAL
Middle Name:
Last Name:CHHABRA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:CHHABRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2485 E HILL RD
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-5096
Mailing Address - Country:US
Mailing Address - Phone:810-922-9924
Mailing Address - Fax:810-659-2381
Practice Address - Street 1:2485 E HILL RD
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-5096
Practice Address - Country:US
Practice Address - Phone:810-922-9924
Practice Address - Fax:810-659-2381
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501007418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
N11990007Medicare ID - Type Unspecified