Provider Demographics
NPI:1821281734
Name:KOHLI, CHITRA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHITRA
Middle Name:
Last Name:KOHLI
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 1:1155 KAS DR STE 180
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-1970
Mailing Address - Country:US
Mailing Address - Phone:469-485-2382
Mailing Address - Fax:833-390-1352
Practice Address - Street 1:1155 KAS DR STE 180
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-1970
Practice Address - Country:US
Practice Address - Phone:469-485-2382
Practice Address - Fax:833-390-1352
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0435876207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology