Chandra, Sumesh
Chandra, Sumesh is an individual health care provider with primary practice located at 13801 Bruce B Downs Blvd Ste 201 , Tampa FL 33613-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Chandra, Sumesh can be contacted via phone (813) 977-5557.Contact Information
Primary practice address
13801 Bruce B Downs Blvd Ste 201
Tampa FL 33613-3937
Phone: (813) 977-5557
Fax: (813) 972-9211
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME0034899 | Florida |
Profile Details
NPI number | 1477547602 |
---|---|
LBN Legal business name | Chandra, Sumesh |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2005 |
Last updated | Jul 13th, 2021 - about 3 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 | 1477547602 | NPPES |
Florida | Other | 30302 | BCBS INDIVIDUAL |
Florida | Other | DB6684 | BCBS INDIVIDUAL |
Florida | MEDICAID | 270620200 | BCBS INDIVIDUAL |
Florida | MEDICAID | 039760100 | BCBS INDIVIDUAL |
Florida | Other | 410111141 | BCBS INDIVIDUAL |
Florida | Other | 74830 | BCBS INDIVIDUAL |
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