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NPI Code Detail

MEDICARE: KRISHAN CHANDAR MD

MEDICARE: KRISHAN CHANDAR 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
12084N0400XNeurology Physician35-039237OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053344176
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISHAN CHANDAR MD
Provider Business Mailing Address
First Line : 3605 WARRENSVILLE CENTER ROAD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122
Country : US
Telephone Number : 440-684-5979
Fax Number : 440-684-5952
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-3192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 07/08/2007

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Directions to “ KRISHAN CHANDAR MD” Practice Location

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