MEDICARE: DR. ROHIT 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
1	207R00000X	Internal Medicine Physician	4301508966	MI

General Provider Information

NPI Number	:	1972124915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROHIT CHANDRA MD

Provider Business Mailing Address
First Line	:	2911 W GRAND BLVD APT 3103
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-2646
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 W GRAND BLVD APT 3103
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-2646
Country	:	US
Telephone Number	:	614-226-0175
Fax Number	:

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

Provider Enumeration Date	:	04/30/2020
Last Update Date	:	10/22/2025

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