Chandra, Manju

Chandra, Manju is an individual health care provider with primary practice located at 173 Mineola Blvd Ste 101 , Mineola NY 11501-2529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Chandra, Manju can be contacted via phone (516) 663-9494.

Contact Information

Primary practice address
173 Mineola Blvd Ste 101 Mineola NY 11501-2529
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 119056 New York

Profile Details

NPI number 1841366127
LBN Legal business name Chandra, Manju
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Mar 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841366127 NPPES
New York MEDICAID 00630828

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