Provider Demographics
NPI:1194779629
Name:CHHOKAR, HARPREET SINGH (MD)
Entity type:Individual
Prefix:
First Name:HARPREET
Middle Name:SINGH
Last Name:CHHOKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12932 SE KENT KANGLEY RD
Mailing Address - Street 2:184
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7940
Mailing Address - Country:US
Mailing Address - Phone:253-520-7390
Mailing Address - Fax:253-520-7028
Practice Address - Street 1:10830 SE KENT KANGLEY RD
Practice Address - Street 2:100A
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-9959
Practice Address - Country:US
Practice Address - Phone:253-520-7390
Practice Address - Fax:253-520-7028
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00045566207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8435810Medicaid
WAG8859977Medicare PIN
G57593Medicare UPIN