Active NPI
Balinder S. Chahal, MD., PA
- Psychiatry Physician
- Lake Mary, FL
National Provider Identifier
1194767467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0060781
- Legal business name
- BALINDER S. CHAHAL, MD., PA
- Practice address
- 1355 S International Pkwy
#2491
Lake Mary, FL 32746-1696 - Phone
- (407) 804-8016
- Fax
- (407) 804-8017
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Balinder S Chahal, M.D.
- Title
- President
- Phone
- (407) 804-8016
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0060781 | FL | Primary |
Addresses
Primary practice location
1355 S International Pkwy
#2491
Lake Mary, FL 32746-1696
Mailing address
1355 S International Pkwy
#2491
Lake Mary, FL 32746-1696
Phone (407) 804-8016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374756500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1355 S International Pkwy
Ste 2491
Lake Mary, FL 32746
Phone (407) 804-8016
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Lake Mary, FL
- NPI 1598706442
-
- Clinical Social Worker
- Lake City, FL
- NPI 1548249360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342569600000",
"number": "1194767467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 S INTERNATIONAL PKWY",
"address_2": "#2491",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461696",
"telephone_number": "407-804-8016",
"fax_number": "407-804-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 S INTERNATIONAL PKWY",
"address_2": "#2491",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461696",
"telephone_number": "407-804-8016",
"fax_number": "407-804-8017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALINDER S. CHAHAL, MD., PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2012-07-18",
"status": "A",
"authorized_official_last_name": "CHAHAL",
"authorized_official_first_name": "BALINDER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-804-8016",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0060781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374756500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.