Provider Demographics
NPI:1568611630
Name:CHAWLA, ARUN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:
Last Name:CHAWLA
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 1:300 SHEPPARD RD
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4670
Mailing Address - Country:US
Mailing Address - Phone:856-424-7390
Mailing Address - Fax:856-424-7386
Practice Address - Street 1:300 SHEPPARD RD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4670
Practice Address - Country:US
Practice Address - Phone:856-424-7390
Practice Address - Fax:856-424-7386
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09830600207RN0300X
VA0101252112207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1568611630Medicaid
VA1568611630Medicare PIN