Provider Demographics
NPI:1841444908
Name:NATWARLAL CHOWLERA MD PC
Entity type:Organization
Organization Name:NATWARLAL CHOWLERA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATWARLAL
Authorized Official - Middle Name:O
Authorized Official - Last Name:CHOWLERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-728-6257
Mailing Address - Street 1:8028 LEFFERTS BLVD
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1724
Mailing Address - Country:US
Mailing Address - Phone:718-728-6257
Mailing Address - Fax:718-545-3638
Practice Address - Street 1:2802 21ST AVE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-2926
Practice Address - Country:US
Practice Address - Phone:718-728-6257
Practice Address - Fax:718-545-3638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138983207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00552516Medicaid
NYC09628Medicare UPIN