Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 309891 | NY |
N | 208000000X | Pediatrician | A128429 | CA |
N | 2080P0214X | Pediatric Pulmonologist | DR.0059739 | CO |
NPI | 1508242215 |
---|---|
Provider Name | Divya Chhabra |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2015 |
Last Update Date | 16/12/2021 |