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NPI Code Detail

MEDICARE: SHANEL CHANDRA MD

MEDICARE: SHANEL CHANDRA 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
12084P0800XPsychiatry Physician48427KY
2390200000XStudent in an Organized Health Care Education/Training Program
32084P0800XPsychiatry Physician326535LA

General Provider Information

NPI Number : 1558649970
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANEL CHANDRA MD
Provider Business Mailing Address
First Line : PO BOX 635283
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-5283
Country : US
Telephone Number : 859-301-5901
Fax Number : 859-301-5940
Provider Business Practice Location Address
First Line : 400 POYDRAS ST STE 1950
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-3341
Country : US
Telephone Number : 504-322-3837
Fax Number : 504-322-3847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2011
Last Update Date : 03/16/2022

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Directions to “ SHANEL CHANDRA MD” Practice Location

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