Chandra, Samir
Chandra, Samir is an individual health care provider with primary practice located at 2710 Saint Francis Dr Suite 510, Waterloo IA 50702-5619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Chandra, Samir can be contacted via phone (319) 272-5000.Contact Information
Primary practice address
2710 Saint Francis Dr Suite 510
Waterloo IA 50702-5619
Phone: (319) 272-5000
Fax: (319) 272-5445
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34779 | Iowa |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 34779 | Iowa |
Profile Details
NPI number | 1639114077 |
---|---|
LBN Legal business name | Chandra, Samir |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2006 |
Last updated | Jul 13th, 2007 - about 18 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 | 1639114077 | NPPES |
Iowa | MEDICAID | 0269399 |
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