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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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 1639114077 NPPES
Iowa MEDICAID 0269399

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