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NPI Code Detail

MEDICARE: DR. CHANDINI SAJJA MD

MEDICARE: DR. CHANDINI SAJJA 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianU0844TX

General Provider Information

NPI Number : 1417417080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHANDINI SAJJA MD
Provider Business Mailing Address
First Line : 2302 LONE STAR RD STE 200
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-8751
Country : US
Telephone Number : 682-641-7200
Fax Number : 682-641-7201
Provider Business Practice Location Address
First Line : 2302 LONE STAR RD STE 200
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-8751
Country : US
Telephone Number : 682-641-7200
Fax Number : 682-641-7201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2019
Last Update Date : 01/17/2023

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Directions to “ DR. CHANDINI SAJJA MD” Practice Location

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