Provider Demographics
NPI:1700850245
Name:CHHAJWANI, BALRAM L (MD)
Entity Type:Individual
Prefix:MR
First Name:BALRAM
Middle Name:L
Last Name:CHHAJWANI
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 1:915 CLINGAN RIDGE DR NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-3729
Mailing Address - Country:US
Mailing Address - Phone:423-339-3340
Mailing Address - Fax:423-339-9927
Practice Address - Street 1:915 CLINGAN RIDGE DR NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3729
Practice Address - Country:US
Practice Address - Phone:423-339-3340
Practice Address - Fax:423-339-9927
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD018795207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0440011OtherUNITED HEALTH CARE
TNTN0101OtherJOHN DEERE
TN3038952Medicaid
TN0087869OtherBLUE CROSS BLUE SHIELD
TN0087869OtherBLUE CROSS BLUE SHIELD
0440011OtherUNITED HEALTH CARE