Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-069290 | OH |
N | 111NI0900X | Internist | 35-069290 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 35069290 | OH |
Y | 207RI0011X | Interventional Cardiology | 35-069290 | OH |
NPI | 1023082278 |
---|---|
Provider Name | Mr. Rakesh R Chawla |
First Address | Wilmington, OH 45177-2171 |
Second Address | Wilmington, OH 45177-2171 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 26/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2011316 | (05) | OH |
G50796 | (02) |