MEDICARE: SANDHYA CHINALA MD

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	2084P0800X	Psychiatry Physician	25MA10497300	NJ

General Provider Information

NPI Number	:	1487037248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDHYA CHINALA MD

Provider Business Mailing Address
First Line	:	10000 MIDLANTIC DR STE 101E
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-1520
Country	:	US
Telephone Number	:	732-982-2888
Fax Number	:

Provider Business Practice Location Address
First Line	:	88 PRINCETON HIGHTSTOWN RD
Second Line	:
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08550-1100
Country	:	US
Telephone Number	:	732-982-2888
Fax Number	:

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

Provider Enumeration Date	:	06/29/2015
Last Update Date	:	01/09/2026

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