Basic Information
Provider Information
NPI: 1306816897
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHHABRA
FirstName: YUSKIRAN
MiddleName: KAUR
NamePrefix: DR.
NameSuffix:  
Credential: VA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3700 FETTLER PARK
Address2: DUMFRIES HEALTH CENTER
City: DUMFRIES
State: VA
PostalCode: 22025
CountryCode: US
TelephoneNumber: 7034417500
FaxNumber: 7035761414
Practice Location
Address1: 3700 FETTLER PARK
Address2: DUMFRIES HEALTH CENTER
City: DUMFRIES
State: VA
PostalCode: 22025
CountryCode: US
TelephoneNumber: 7034417500
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/25/2006
LastUpdateDate: 04/03/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X010138270VAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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