Basic Information
Provider Information
NPI: 1063815504
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHHATLANI
FirstName: AARTI
MiddleName: G
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5900 BALCONES DR STE 100
Address2:  
City: AUSTIN
State: TX
PostalCode: 787314298
CountryCode: US
TelephoneNumber: 5128868791
FaxNumber:  
Practice Location
Address1: 1860 EL CAMINO REAL STE 250
Address2:  
City: BURLINGAME
State: CA
PostalCode: 940103111
CountryCode: US
TelephoneNumber: 8448678444
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/29/2014
LastUpdateDate: 05/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA154765CAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800XS4742TXY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


Home