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NPI Code Detail

MEDICARE: DR. TEJWANT SINGH CHANDI MD

MEDICARE:  DR. TEJWANT SINGH CHANDI  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 Physician9701713NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
22261582AOTHERMEDICARE
62344538OTHERMEDICARE
13110213096OTHERMEDICARE RR RETIREMENT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1111692OTHERSENTARA
329476OTHERSENTARA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5432487OTHERVABCBS
77203205OTHERCIGNA
8295434OTHERMAMSI
9PR72032050001OTHERCIGNA
101170COTHERNCBCBS
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
1296698OTHERMEDCOST
1426741OTHERPARTNERS
15522238390OTHERUNITED HEALTHCARE
16522238390OTHERFIRST HEALTH
17E52223839091229OTHERAETNA US HEALTHCARE

General Provider Information

NPI Number : 1578562955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TEJWANT SINGH CHANDI MD
Provider Business Mailing Address
First Line : 1507 N ROAD ST
Second Line : STE 3
City : ELIZABETH CITY
State : NC
Zip : 27909-3243
Country : US
Telephone Number : 252-335-2963
Fax Number : 252-335-2636
Provider Business Practice Location Address
First Line : 1507 N ROAD ST
Second Line : STE 3
City : ELIZABETH CITY
State : NC
Zip : 27909-3243
Country : US
Telephone Number : 252-335-2963
Fax Number : 252-335-2636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 02/08/2010

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Directions to “ DR. TEJWANT SINGH CHANDI MD” Practice Location

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