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NPI Code Detail

MEDICARE: CHANDA LLC

MEDICARE: CHANDA LLC
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1184585770
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHANDA LLC
Provider Business Mailing Address
First Line : 7913 SYCAMORE BROOK DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-1792
Country : US
Telephone Number : 763-321-0823
Fax Number :
Provider Business Practice Location Address
First Line : 7913 SYCAMORE BROOK DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-1792
Country : US
Telephone Number : 763-321-0823
Fax Number :
Authorized Official
Title or Position : CEO
Name : BRENDA DAHN
Credential :
Telephone Number : 763-321-0823
Provider Enumeration Date : 11/21/2025
Last Update Date : 11/21/2025

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Directions to “CHANDA LLC ” Practice Location

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