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NPI Code Detail

MEDICARE: NEENA CHANDRASEKARAN

MEDICARE: NEENA CHANDRASEKARAN
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
1207R00000XInternal Medicine PhysicianME154938FL
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianME154938FL
3207RP1001XPulmonary Disease PhysicianME154938FL

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 : 1083077192
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEENA CHANDRASEKARAN
Provider Business Mailing Address
First Line : 3476 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3476 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2000
Country : US
Telephone Number : 954-475-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2016
Last Update Date : 06/09/2025

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Directions to “ NEENA CHANDRASEKARAN ” Practice Location

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