Provider Demographics
NPI:1902110612
Name:CHAWLA, ANUPREET (OD)
Entity Type:Individual
Prefix:DR
First Name:ANUPREET
Middle Name:
Last Name:CHAWLA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ANU
Other - Middle Name:
Other - Last Name:CHAWLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:5500 BUCKEYSTOWN PIKE
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-8331
Practice Address - Country:US
Practice Address - Phone:301-663-4745
Practice Address - Fax:301-293-0256
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA618002832152W00000X
PAOEG002395152W00000X
WV2099-IOD152W00000X
MDTA2222152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist