Provider Demographics
NPI:1649427618
Name:CHHATRIWALA, HATIM F (MD)
Entity type:Individual
Prefix:
First Name:HATIM
Middle Name:F
Last Name:CHHATRIWALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2400 ROUND ROCK AVE
Mailing Address - Street 2:HOSPITALIST OFFICE
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4004
Mailing Address - Country:US
Mailing Address - Phone:512-341-5632
Mailing Address - Fax:512-341-5131
Practice Address - Street 1:2400 ROUND ROCK AVE
Practice Address - Street 2:HOSPITALIST OFFICE
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4004
Practice Address - Country:US
Practice Address - Phone:512-341-5632
Practice Address - Fax:512-341-5131
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2017-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT047615207R00000X
TXQ2115207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ2115OtherTEXAS MEDICAL BOARD
CT#047615OtherCT STATE LICENSE