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NPI Code Detail

MEDICARE: DR. SUBHASH CHANDRA M.D.

MEDICARE: DR. SUBHASH 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
12084F0202XForensic Psychiatry Physician280334NY

General Provider Information

NPI Number : 1306134333
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUBHASH CHANDRA M.D.
Provider Business Mailing Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3511
Country : US
Telephone Number : 718-299-7294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2011
Last Update Date : 09/21/2024

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