Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 85486 | GA |
N | 111NI0900X | Internist | 85486 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 85486 | GA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 85486 | GA |
NPI | 1043574049 |
---|---|
Provider Name | Dhruv Chawla |
First Address | Stockbridge, GA 30281-9084 |
Second Address | Stockbridge, GA 30281-9084 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2012 |
Last Update Date | 30/09/2020 |