Provider Demographics
NPI:1528501822
Name:CHAWLA, HARMANPREET (MD)
Entity type:Individual
Prefix:
First Name:HARMANPREET
Middle Name:
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 1:444 S KINGSLEY DR
Mailing Address - Street 2:APT 149
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-3267
Mailing Address - Country:US
Mailing Address - Phone:305-494-8969
Mailing Address - Fax:
Practice Address - Street 1:444 S KINGSLEY DR
Practice Address - Street 2:APT 149
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-3267
Practice Address - Country:US
Practice Address - Phone:305-494-8969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-18
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA135834208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics