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NPI Code Detail

MEDICARE: FNU CHANDRA KIRAN

MEDICARE: FNU CHANDRA KIRAN
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
1225X00000XOccupational Therapist119029TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3337361OTHERMDMEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11447657507OTHERMDNPI TYPE 2/ORGANIZATION NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295299865
Entity Type Code : Individual
Provider Name (Legal Business Name) : FNU CHANDRA KIRAN
Provider Business Mailing Address
First Line : 1424 FALLBROOK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77038-1846
Country : US
Telephone Number : 346-754-5070
Fax Number :
Provider Business Practice Location Address
First Line : 1424 FALLBROOK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77038-1846
Country : US
Telephone Number : 346-754-5070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2019
Last Update Date : 01/03/2024

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Directions to “ FNU CHANDRA KIRAN ” Practice Location

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