Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005962-1 | NY |
NPI | 1386752707 |
---|---|
Provider Name | Puneet S Chahal |
First Address | Olean, NY 14760-1500 |
Second Address | Olean, NY 14760-1593 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2006 |
Last Update Date | 01/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02526901 | (05) | NY |
1013086925 | MEDICARE DME (01) | NY |
U91107 | (02) |