Provider Demographics
NPI:1619964020
Name:CHAWLA, BANDANA NARANG (MD)
Entity Type:Individual
Prefix:DR
First Name:BANDANA
Middle Name:NARANG
Last Name:CHAWLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 BISSONNET ST
Mailing Address - Street 2:STE 355
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3124
Mailing Address - Country:US
Mailing Address - Phone:713-592-8900
Mailing Address - Fax:713-592-8904
Practice Address - Street 1:4500 BISSONNET ST
Practice Address - Street 2:STE 355
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3124
Practice Address - Country:US
Practice Address - Phone:713-592-8900
Practice Address - Fax:713-592-8904
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0052PJOtherBLUE CROSS
TX45D1082172OtherCLIA
TXP00433013OtherRR MEDICARE
TX612840Medicare PIN
TXH56290Medicare UPIN