Basic Information
| Provider Information | |||||||||
| NPI: | 1871548776 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHAWLA | ||||||||
| FirstName: | OPKAR | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 45 RESEARCH WAY | ||||||||
| Address2: | STONY BROOK INTERNISTS, UFPC/STONY BROOK EXTENDED CARE | ||||||||
| City: | EAST SETAUKET | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117336401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6316752125 | ||||||||
| FaxNumber: | 6316752624 | ||||||||
| Practice Location | |||||||||
| Address1: | 23 HOWELL AVENUE | ||||||||
| Address2: | STONY BROOK EXTENDED CARE | ||||||||
| City: | CENTEREACH | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117202133 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6315420550 | ||||||||
| FaxNumber: | 6315427473 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2006 | ||||||||
| LastUpdateDate: | 10/19/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 183894 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.