Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | Q3161 | TX |
NPI | 1003134131 |
---|---|
Provider Name | Mandeep Singh Chahil |
First Address | Fort Worth, TX 76104-3261 |
Second Address | Fort Worth, TX 76104-3261 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2010 |
Last Update Date | 20/09/2016 |