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NPI Code Detail

MEDICARE: DR. SUJANA S. CHANDRASEKHAR MD

MEDICARE:  DR. SUJANA S. CHANDRASEKHAR  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
1207YX0901XOtology & Neurotology Physician25MA06045800NJ
2207YX0901XOtology & Neurotology Physician178192NY
3207Y00000XOtolaryngology Physician1781921NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11180621OTHERNYAETNA
2OXFORDOTHERNYP877572
38M0242OTHERNYBLUE CROSS BLUE SHEILD
4N96509OTHERNYHEALTH NET

General Provider Information

NPI Number : 1649363151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUJANA S. CHANDRASEKHAR MD
Provider Business Mailing Address
First Line : 660 WHITE PLAINS RD FL 4
Second Line :
City : TARRYTOWN
State : NY
Zip : 10591-5139
Country : US
Telephone Number : 914-984-2546
Fax Number :
Provider Business Practice Location Address
First Line : 18 E 48TH ST FL 2
Second Line :
City : NEW YORK
State : NY
Zip : 10017-1014
Country : US
Telephone Number : 646-868-4300
Fax Number : 646-868-4495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/13/2023

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Directions to “ DR. SUJANA S. CHANDRASEKHAR MD” Practice Location

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