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NPI Code Detail

MEDICARE: JOSHUA KORA CHANDY DO

MEDICARE: JOSHUA KORA CHANDY DO
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
12084P0800XPsychiatry Physician073523GA
22084P0800XPsychiatry PhysicianOS13782FL

General Provider Information

NPI Number : 1558654079
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA KORA CHANDY DO
Provider Business Mailing Address
First Line : 7814 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33614-3220
Country : US
Telephone Number : 813-405-3938
Fax Number :
Provider Business Practice Location Address
First Line : 7814 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33614-3220
Country : US
Telephone Number : 813-405-3938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2011
Last Update Date : 07/07/2016

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Directions to “ JOSHUA KORA CHANDY DO” Practice Location

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