Provider Demographics
NPI:1053359174
Name:CHAHAL, PARMINDER SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:PARMINDER
Middle Name:SINGH
Last Name:CHAHAL
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 1:13943 N 91ST AVE STE F101
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-3689
Mailing Address - Country:US
Mailing Address - Phone:623-900-2929
Mailing Address - Fax:602-429-8249
Practice Address - Street 1:13943 N 91ST AVE STE F101
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-3689
Practice Address - Country:US
Practice Address - Phone:623-900-2929
Practice Address - Fax:602-429-8249
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301077534207R00000X
AZ36053207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ144849Medicaid
AZ144849Medicaid
AZZ142728Medicare PIN