Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 27328 | NE |
N | 207N00000X | Dermatologist | 40345 | IA |
Y | 207N00000X | Dermatologist | 59743 | AZ |
N | 207N00000X | Dermatologist | 8447 | SD |
N | 207ND0101X | MOHS-Micrographic Surgeon | 27328 | NE |
N | 207ND0101X | MOHS-Micrographic Surgeon | 40345 | IA |
N | 207ND0101X | MOHS-Micrographic Surgeon | 59743 | AZ |
N | 207ND0101X | MOHS-Micrographic Surgeon | 8447 | SD |
NPI | 1003079773 |
---|---|
Provider Name | Dr. Inderjit Chabra |
First Address | Tucson, AZ 85712-1256 |
Second Address | Tucson, AZ 85712-1256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 18/06/2021 |