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General NPI Number Information
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NPI Number | 1205839024
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Entity Type | Individual
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Provider Name | ERIC M CHAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 8300 RED BUG LAKE RD
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City | OVIEDO
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State | FL
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Zip | 32765-6801
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Country | US
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Telephone | 407-890-2179
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Fax | 407-890-2181
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Provider Business Mailing Address
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Address Line | 2401 WILLOW DROP WAY
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City | OVIEDO
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State | FL
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Zip | 32766-7085
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Country | US
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Telephone | 912-515-5748
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Fax | 407-890-2177
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 00024997
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 051124
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD0000036998
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME126864
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License Number State | FL
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