Basic Information
Provider Information
NPI: 1639308919
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHHABRIA
FirstName: ARUNA
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: MD.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3551 ROGER BROOKE DR
Address2:  
City: FORT SAM HOUSTON
State: TX
PostalCode: 782344504
CountryCode: US
TelephoneNumber: 2105399271
FaxNumber:  
Practice Location
Address1: 3551 ROGER BROOKE DR
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782344504
CountryCode: US
TelephoneNumber: 2109169900
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/08/2009
LastUpdateDate: 07/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/22/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X25MA09149800NJN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XQ8706TXY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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