Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 12031 | OK |
NPI | 1003886144 |
---|---|
Provider Name | Dr. Harperminder Bedi Chawla |
First Address | Seminole, OK 74868-1917 |
Second Address | Seminole, OK 74868-1917 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 21/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100226730B | (05) | OK |
E15952 | (02) | OK |