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General NPI Number Information
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NPI Number | 1912118514
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Entity Type | Individual
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Provider Name | SRIKRISHNA CHANDRAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 325 E EISENHOWER PKWY
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City | ANN ARBOR
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State | MI
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Zip | 48108-3364
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Country | US
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Telephone | 734-615-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 S STATE ST
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City | ANN ARBOR
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State | MI
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Zip | 48108-1633
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Country | US
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Telephone | 734-647-5299
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 4301088201
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 4301088201
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | D73216
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 4301088201
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License Number State | MP
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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