Provider Demographics
NPI:1508850066
Name:CHAHAL, BALBIR SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:BALBIR
Middle Name:SINGH
Last Name:CHAHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:455 SCHOOL ST
Mailing Address - Street 2:STE #44
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4595
Mailing Address - Country:US
Mailing Address - Phone:281-357-0661
Mailing Address - Fax:832-516-6655
Practice Address - Street 1:455 SCHOOL ST
Practice Address - Street 2:STE #44
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4593
Practice Address - Country:US
Practice Address - Phone:281-357-0661
Practice Address - Fax:281-357-8441
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK4389207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0002ETOtherBCBS
TX092458104Medicaid
TXG39363Medicare UPIN
TX8F6447Medicare PIN