Provider Demographics
NPI:1194918540
Name:CHEGAR FACIAL PLASTIC SURGERY PC
Entity type:Organization
Organization Name:CHEGAR FACIAL PLASTIC SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BURKE
Authorized Official - Middle Name:ELEYET
Authorized Official - Last Name:CHEGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-844-5656
Mailing Address - Street 1:735 W CARMEL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5802
Mailing Address - Country:US
Mailing Address - Phone:317-818-5438
Mailing Address - Fax:317-818-5444
Practice Address - Street 1:735 W CARMEL DR STE 100
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5802
Practice Address - Country:US
Practice Address - Phone:317-818-5438
Practice Address - Fax:317-818-5444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01061854A2082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN50004914AOtherMED. CORP. REGISTRATION