Provider Demographics
NPI:1639683386
Name:CHHAB INC
Entity Type:Organization
Organization Name:CHHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:GAGLANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-526-1189
Mailing Address - Street 1:25395 HANCOCK AVE.
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9054
Mailing Address - Country:US
Mailing Address - Phone:951-677-6670
Mailing Address - Fax:951-677-6676
Practice Address - Street 1:25395 HANCOCK AVE.
Practice Address - Street 2:SUITE 230
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9256
Practice Address - Country:US
Practice Address - Phone:951-526-1189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA138057207RC0000X, 207RI0011X
207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Single Specialty