Provider Demographics
NPI:1144276239
Name:CHAUHAN, BALBIR SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:BALBIR
Middle Name:SINGH
Last Name:CHAUHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:413 PULASKI HWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085-3610
Mailing Address - Country:US
Mailing Address - Phone:410-679-2122
Mailing Address - Fax:410-679-3065
Practice Address - Street 1:413 PULASKI HWY
Practice Address - Street 2:SUITE 204
Practice Address - City:JOPPA
Practice Address - State:MD
Practice Address - Zip Code:21085-3610
Practice Address - Country:US
Practice Address - Phone:410-679-2122
Practice Address - Fax:410-679-3065
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0025032208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD255221300Medicaid
MD255221300Medicaid