Chandra, Sudhish

Chandra, Sudhish is an individual health care provider with primary practice located at 5454 Hohman Ave , Hammond IN 46320-1931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Chandra, Sudhish can be contacted via phone (219) 933-2300.

Contact Information

Primary practice address
5454 Hohman Ave Hammond IN 46320-1931
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01059766A Indiana

Profile Details

NPI number 1497742092
LBN Legal business name Chandra, Sudhish
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jul 19th, 2011 - about 13 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 1497742092 NPPES
Illinois Other 0090000854 BCBS GROUP NUMBER
Illinois MEDICAID 200409950 BCBS GROUP NUMBER

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