Provider Demographics
NPI:1194114108
Name:GOYAL-MEHRA, CHHAVI (MD)
Entity type:Individual
Prefix:
First Name:CHHAVI
Middle Name:
Last Name:GOYAL-MEHRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TELERAD RXDX HEALTHCARE PVT LTD.PLOT NO7G
Mailing Address - Street 2:OPPSITE GRAPHITE INDIA,WHITEFIELD
Mailing Address - City:BANGALORE
Mailing Address - State:KARNATAKA
Mailing Address - Zip Code:560048
Mailing Address - Country:IN
Mailing Address - Phone:91804-926-1111
Mailing Address - Fax:
Practice Address - Street 1:TELERAD RXDX HEALTHCARE
Practice Address - Street 2:PLOT NO 7 G,OPPSITE GRAPHITE INDIA,WHITEFIELD
Practice Address - City:BANGALORE
Practice Address - State:KARNATAKA
Practice Address - Zip Code:560048
Practice Address - Country:IN
Practice Address - Phone:91804-926-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54284207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine