Provider Demographics
NPI:1548479827
Name:CHHABRA, SUMEET KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:SUMEET
Middle Name:KUMAR
Last Name:CHHABRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 ALLIANCE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5362
Mailing Address - Country:US
Mailing Address - Phone:972-941-3100
Mailing Address - Fax:844-292-1461
Practice Address - Street 1:4708 ALLIANCE BLVD STE 500
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5362
Practice Address - Country:US
Practice Address - Phone:972-941-3100
Practice Address - Fax:844-292-1461
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6152207RC0001X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX327967102Medicaid
TX118388104Medicaid
TX319647YSHRMedicare UPIN
TX118388104Medicaid