Provider Demographics
NPI:1720373137
Name:CHAHAL, HARJIT K (MD, MPH)
Entity type:Individual
Prefix:
First Name:HARJIT
Middle Name:K
Last Name:CHAHAL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 SAINT JOHNS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-1190
Mailing Address - Country:US
Mailing Address - Phone:651-326-4327
Mailing Address - Fax:651-326-8171
Practice Address - Street 1:1600 SAINT JOHNS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1190
Practice Address - Country:US
Practice Address - Phone:651-326-4327
Practice Address - Fax:651-326-8171
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD045285207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty