Provider Demographics
NPI:1407896939
Name:CHAWLA, RAJINDER S (MD)
Entity Type:Individual
Prefix:
First Name:RAJINDER
Middle Name:S
Last Name:CHAWLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:851 MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1612
Mailing Address - Country:US
Mailing Address - Phone:781-337-6500
Mailing Address - Fax:781-331-1148
Practice Address - Street 1:851 MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1612
Practice Address - Country:US
Practice Address - Phone:781-337-6500
Practice Address - Fax:781-331-1148
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2016-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA38013207R00000X
MA038013207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine