Provider Demographics
NPI:1295912376
Name:CHABILAL NEERGHEEN MD
Entity type:Organization
Organization Name:CHABILAL NEERGHEEN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHABILAL
Authorized Official - Middle Name:
Authorized Official - Last Name:NEERGHEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-525-4157
Mailing Address - Street 1:264 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-1815
Mailing Address - Country:US
Mailing Address - Phone:413-525-4157
Mailing Address - Fax:413-525-4158
Practice Address - Street 1:264 N MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-1815
Practice Address - Country:US
Practice Address - Phone:413-525-4157
Practice Address - Fax:413-525-4158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA14735OtherHEALTH NEW ENGLAND
MA2062062Medicaid
MA754297OtherTUFTS HEALTH PLAN
MAH12013OtherBLUE CROSS BLUE SHIELD
MAH12013OtherBLUE CROSS BLUE SHIELD