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General NPI Number Information
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NPI Number | 1235399338
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Entity Type | Individual
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Provider Name | CHANDANA KAKANI MD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 4370 MEDICAL ARTS DR STE 100
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1713
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Country | US
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Telephone | 972-537-4100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD442912
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | S1835
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License Number State | TX
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