Provider Demographics
NPI:1801047253
Name:CHAWLA, HARBHAJAN SINGH (MD)
Entity type:Individual
Prefix:
First Name:HARBHAJAN
Middle Name:SINGH
Last Name:CHAWLA
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 1:3601 A ST
Mailing Address - Street 2:CREDENTIALING OFFICE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-1043
Mailing Address - Country:US
Mailing Address - Phone:215-427-8822
Mailing Address - Fax:215-427-8830
Practice Address - Street 1:3601 A ST
Practice Address - Street 2:CREDENTIALING OFFICE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1043
Practice Address - Country:US
Practice Address - Phone:215-427-8822
Practice Address - Fax:215-427-8830
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032039L2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0222305Medicaid
PA000673144Medicaid
PAE61147Medicare UPIN
PA127208P8YMedicare PIN