Provider Demographics
NPI:1467149385
Name:CHAHAL, INDERVEER SINGH (PHARMD)
Entity Type:Individual
Prefix:
First Name:INDERVEER
Middle Name:SINGH
Last Name:CHAHAL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10703 STEPHANIE DR
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:CA
Mailing Address - Zip Code:95953-2148
Mailing Address - Country:US
Mailing Address - Phone:530-329-5448
Mailing Address - Fax:
Practice Address - Street 1:1274 STABLER LN
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-2620
Practice Address - Country:US
Practice Address - Phone:530-671-5753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist