MEDICARE: POOJA CHANDRA M.D.

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
1	208000000X	Pediatrics Physician	90778	GA

General Provider Information

NPI Number	:	1134573058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	POOJA CHANDRA M.D.

Provider Business Mailing Address
First Line	:	707 E MAIN ST
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-2650
Country	:	US
Telephone Number	:	845-333-7575
Fax Number	:	845-333-7120

Provider Business Practice Location Address
First Line	:	1060 WINDY HILL RD SE STE 200
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-2065
Country	:	US
Telephone Number	:	770-941-7709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2016
Last Update Date	:	01/13/2026

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Directions to “ POOJA CHANDRA M.D.” Practice Location

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