Sukhjit S Chahal, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A36802 Issued in CA

Practice address

7011 N Howard St
Ste 102
Fresno, CA 93720-2955

Phone

(559) 935-5491

Fax

(559) 935-5719

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Gloria Supernaw Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619080058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 N HOWARD ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202955",
            "telephone_number": "559-935-5491",
            "fax_number": "559-935-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 N HOWARD ST",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202955",
            "telephone_number": "559-935-5491",
            "fax_number": "559-935-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHAL",
        "first_name": "SUKHJIT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A36802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A368020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "942880072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "SUPERNAW",
            "prefix": "MRS.",
            "credential": "OFFICE MANAGER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacy Lynn Chaffin, P.T.
• Angelica Chaghouri, DDS
• Dominique Chagniot
• Christina Chagolla
• Jaswant K Chahal-Matharu, M.D.
• Alexis Chaidez
• Jonathan Christopher Chaidez
• Elaine Ellie Chaix
• Kaydence Mackenzie Chakerian
• Nikita Chalaka, DO

• Specialist in Fresno, CA
• Providers in Fresno, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.