Provider Demographics
NPI:1285605865
Name:CHAWLA, PARMINDER S (MD)
Entity type:Individual
Prefix:
First Name:PARMINDER
Middle Name:S
Last Name:CHAWLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19420 GOLF VISTA PLZ
Mailing Address - Street 2:SUITE 340
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8265
Mailing Address - Country:US
Mailing Address - Phone:703-729-1900
Mailing Address - Fax:703-729-1550
Practice Address - Street 1:19420 GOLF VISTA PLZ
Practice Address - Street 2:SUITE 340
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-8265
Practice Address - Country:US
Practice Address - Phone:703-729-1900
Practice Address - Fax:703-729-1550
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012463192084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
130022628OtherRR MEDICARE
VA1285605865Medicaid
VA1285605865Medicaid
DC1285605865Medicare PIN
H26318Medicare UPIN