MEDICARE: CHERRY CHANDI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	L3939	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00038995	OTHER	TX	MEDICARE RAIL ROAD NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265425664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERRY CHANDI MD

Provider Business Mailing Address
First Line	:	2016 FM 407
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7180
Country	:	US
Telephone Number	:	972-966-2525
Fax Number	:	972-966-1359

Provider Business Practice Location Address
First Line	:	2016 FM 407
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7161
Country	:	US
Telephone Number	:	972-966-2525
Fax Number	:	972-966-1359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	10/18/2022

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Directions to “ CHERRY CHANDI MD” Practice Location

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