MEDICARE: DR. KHUSHBU ANIRUDHDHA CHANDARANA 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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	2011-00723	NC
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	25MA07958500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609084151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KHUSHBU ANIRUDHDHA CHANDARANA M.D.

Provider Business Mailing Address
First Line	:	550 NEW WAVERLY PL
Second Line	:	SUITE 120
City	:	CARY
State	:	NC
Zip	:	27518-7412
Country	:	US
Telephone Number	:	919-642-3738
Fax Number	:	919-585-1554

Provider Business Practice Location Address
First Line	:	550 NEW WAVERLY PL
Second Line	:	SUITE 120
City	:	CARY
State	:	NC
Zip	:	27518-7412
Country	:	US
Telephone Number	:	919-642-3738
Fax Number	:	919-585-1554

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

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	02/01/2016

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