GURMIT S CHILANA, MD - NPI NUMBER 1649387762

Summary

Provider Name: GURMIT S CHILANA, MD

NPI Number: 1649387762

Clasification: Obstetrics & Gynecology (207V00000X)

Address:
695 BROADWAY
PATERSON, NJ
ZIP 07514

Phone Number: (973) 345-9444



Detailed Information

Gurmit S Chilana, MD is an OB/GYN physician in Paterson, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. The assigned NPI number for this provider is 1649387762 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

695 BROADWAY
PATERSON, NJ
ZIP 07514
Phone: (973) 345-9444
Fax: (973) 345-6992

The enumeration date for this NPI number is 8/24/2006 and was last updated on 6/29/2010.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207V00000X Obstetrics & Gynecology MA51089 NJ Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 A56904 MEDICARE UPIN
2 1110209 MEDICAID NJ
3 536496 MEDICARE ID-TYPE UNSPECIFIED

NPI Record

No. Field Name Field Value
1 NPI 1649387762
2 Entity Type Code 1
3 Provider Last Name Legal Name CHILANA
4 Provider First Name GURMIT
5 Provider Middle Name S
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 695 BROADWAY
8 Provider Business Practice Location Address City Name PATERSON
9 Provider Business Practice Location Address State Name NJ
10 Provider Business Practice Location Address Postal Code 07514
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 9733459444
13 Provider Business Practice Location Address Fax Number 9733456992
14 Provider Enumeration Date 8/24/2006
15 Last Update Date 6/29/2010
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 207V00000X
18 Provider License Number 1 MA51089
19 Provider License Number State Code 1 NJ
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 A56904
22 Other Provider Identifier Type Code 1 02
23 Other Provider Identifier 2 1110209
24 Other Provider Identifier Type Code 2 05
25 Other Provider Identifier State 2 NJ
26 Other Provider Identifier 3 536496
27 Other Provider Identifier Type Code 3 04
28 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.