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General NPI Number Information
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NPI Number | 1184653313
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Entity Type | Individual
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Provider Name | DINESH NARASIMHAIAH CHANDRA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 1218 WALTER REED RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4440
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Country | US
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Telephone | 910-323-1671
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Fax | 910-323-9656
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Provider Business Mailing Address
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Address Line | 2817 REILLY ST WOMACK ARMY MEDICAL CENTER
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City | FORT BRAGG
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State | NC
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Zip | 28310-7324
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Country | US
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Telephone | 910-907-8922
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Fax | 910-907-6069
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 9401391
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License Number State | NC
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