Provider Demographics
NPI:1912132796
Name:CHHABRA, RUPAL DILIP (DO)
Entity type:Individual
Prefix:DR
First Name:RUPAL
Middle Name:DILIP
Last Name:CHHABRA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:RUPAL
Other - Middle Name:DILIP
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:500 W PUTNAM AVE STE 435
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6000
Mailing Address - Country:US
Mailing Address - Phone:475-335-8692
Mailing Address - Fax:646-974-9714
Practice Address - Street 1:500 W PUTNAM AVE STE 435
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6000
Practice Address - Country:US
Practice Address - Phone:475-335-8692
Practice Address - Fax:646-974-9714
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253467207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine