Provider Demographics
NPI:1659313849
Name:CHADHA, HARBINDER S (MD)
Entity Type:Individual
Prefix:
First Name:HARBINDER
Middle Name:S
Last Name:CHADHA
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 1:955 LANE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-3501
Mailing Address - Country:US
Mailing Address - Phone:619-421-3400
Mailing Address - Fax:619-421-3557
Practice Address - Street 1:955 LANE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-3501
Practice Address - Country:US
Practice Address - Phone:619-421-3400
Practice Address - Fax:619-421-3557
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG84284174400000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG75837Medicare UPIN
CAWG84284CMedicare ID - Type Unspecified