Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | G717320 | CA |
NPI | 1023061959 |
---|---|
Provider Name | Resham S. Chahal |
First Address | Concord, CA 94520-2026 |
Second Address | Concord, CA 94520-2026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 15/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F06674 | (02) | CA |