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NPI Code Detail

MEDICARE: SUBHAS CHANDRA MD

MEDICARE: SUBHAS CHANDRA 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
1207R00000XInternal Medicine Physician270664NY

General Provider Information

NPI Number : 1518308220
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUBHAS CHANDRA MD
Provider Business Mailing Address
First Line : 1211 WHITE PLAINS RD
Second Line : BRONX
City : BRONX
State : NY
Zip : 10472-4900
Country : US
Telephone Number : 718-828-6610
Fax Number :
Provider Business Practice Location Address
First Line : 1211 WHITE PLAINS RD
Second Line : BRONX
City : BRONX
State : NY
Zip : 10472-4900
Country : US
Telephone Number : 718-828-6610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2013
Last Update Date : 07/19/2019

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Directions to “ SUBHAS CHANDRA MD” Practice Location

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