Chandra, Usha

Chandra, Usha is an individual health care provider with primary practice located at 4411 W Gore Blvd Suite A2, Lawton OK 73505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chandra, Usha can be contacted via phone (580) 355-0575.

Contact Information

Primary practice address
4411 W Gore Blvd Suite A2 Lawton OK 73505
Phone: (580) 355-0575
Fax: (580) 248-1725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13927 Oklahoma

Profile Details

NPI number 1144216573
LBN Legal business name Chandra, Usha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jan 29th, 2009 - about 15 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 1144216573 NPPES
Oklahoma Other 5100141 AETNA
Oklahoma Other 080081662 AETNA
Oklahoma MEDICAID 100040430B AETNA
Oklahoma MEDICAID 100040430F AETNA

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