Organization Active NPI

Satywan Chhabria MD PA

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1144465030
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78887 Issued in FL
Legal business name
SATYWAN CHHABRIA MD PA
Practice address
4788 Hodges Blvd S
#105
Jacksonville, FL 32224-2209
Phone
(904) 223-6777
Fax
(904) 223-6040
NPI assigned
Dec 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Satywan Chhabria, M.D.
Title
Owner
Phone
(904) 223-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME78887 FL Primary

Addresses

Primary practice location

4788 Hodges Blvd S
#105
Jacksonville, FL 32224-2209

Mailing address

4788 Hodges Blvd S
#105
Jacksonville, FL 32224-2209
Phone (904) 223-6777

Other identifiers 1

IdentifierTypeStateIssuer
257827101MedicaidFL

National Provider Directory

National Provider Directory

Locations

4788 Hodges Blvd
#S105
Jacksonville, FL 32224
Phone (904) 223-6777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1144465030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4788 HODGES BLVD S",
            "address_2": "#105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242209",
            "telephone_number": "904-223-6777",
            "fax_number": "904-223-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4788 HODGES BLVD S",
            "address_2": "#105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242209",
            "telephone_number": "904-223-6777",
            "fax_number": "904-223-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATYWAN CHHABRIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "CHHABRIA",
        "authorized_official_first_name": "SATYWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-223-6777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257827101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.