Female

Dr. Neena Chawla M.D.

Family Medicine Physician in Bonney Lake, WA(View on Map)

Full Name

Dr. Neena Chawla M.D.

NPI Number

1831314731

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/16/2007

Specialties

(Taxonomies)

Code

207Q00000X
174400000X

Primary Taxonomy

Yes
No

Licenses

State

Washington

License Number

MD00047454

Contact
Information

Purpose

Mailing
Location

Address

3908 10TH ST SE
10004 204TH AVE E

City

Puyallup
Bonney Lake

State

WA
WA

Postal Code

98374-2188
98391-6539

Country

US
US

Telephone Number

(253) 848-5951
(253) 848-5951

Identifiers

Identifier

06415319
MD00047454
P00837809
0262086
A97535

Identifier State

Unknown
WA
WA
WA
CA

Identifier Issuer

ECFMG NUMBER
PROFESSIONAL LICENSE
RAILROAD
STATE L&I
PROFESSIONAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/07/2023

Provider Address

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