Provider Demographics
NPI:1750357026
Name:CHAWLA, RAJ KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:RAJ
Middle Name:KUMAR
Last Name:CHAWLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14300 GALLANT FOX LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4033
Mailing Address - Country:US
Mailing Address - Phone:301-809-5556
Mailing Address - Fax:301-809-5510
Practice Address - Street 1:14300 GALLANT FOX LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4003
Practice Address - Country:US
Practice Address - Phone:301-809-5556
Practice Address - Fax:301-809-5510
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0053709207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD426900400Medicaid
MD426900400Medicaid
MD432SMedicare PIN
G95892Medicare UPIN
DCG01985L01Medicare PIN