Provider Demographics
NPI:1497754881
Name:CHHABRA, INDERPAL SINGH (MD)
Entity Type:Individual
Prefix:
First Name:INDERPAL
Middle Name:SINGH
Last Name:CHHABRA
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 1:26619 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1426
Mailing Address - Country:US
Mailing Address - Phone:718-347-0434
Mailing Address - Fax:718-347-0517
Practice Address - Street 1:26619 UNION TPKE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1426
Practice Address - Country:US
Practice Address - Phone:718-347-0434
Practice Address - Fax:718-347-0517
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220535207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01880753Medicaid
G33927Medicare UPIN
NY01880753Medicaid
NY01647Medicare ID - Type UnspecifiedGHI MEDICARE NO. FOR MY G