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
Phone: (516) 663-9494
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841366127 | NPPES |
New York | MEDICAID | 00630828 |
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