Provider Demographics
NPI:1437448628
Name:CHHABRA, MANIK (MD)
Entity Type:Individual
Prefix:
First Name:MANIK
Middle Name:
Last Name:CHHABRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:64 ROBBINS ST
Mailing Address - Street 2:ROOM #3304
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-2613
Mailing Address - Country:US
Mailing Address - Phone:203-573-6574
Mailing Address - Fax:203-573-6213
Practice Address - Street 1:64 ROBBINS ST
Practice Address - Street 2:ROOM #3304
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-2613
Practice Address - Country:US
Practice Address - Phone:203-573-6574
Practice Address - Fax:203-573-6213
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT052920207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine