Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 119 | NE |
NPI | 1730559634 |
---|---|
Provider Name | Dr. Hardeep Chehal |
First Address | Omaha, NE 68106-3891 |
Second Address | Omaha, NE 68178-0133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2015 |
Last Update Date | 05/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
FC0252382 | (05) | NE |