John, Chandy C

John, Chandy C is an individual health care provider with primary practice located at 1044 W Walnut St R4 402D, Indianapolis IN 46202-5254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. John, Chandy C can be contacted via phone (317) 274-8940.

Contact Information

Primary practice address
1044 W Walnut St R4 402D Indianapolis IN 46202-5254
Phone: (317) 274-8940
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 01075551 Indiana

Profile Details

NPI number 1649362567
LBN Legal business name John, Chandy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 18th, 2020 - about 5 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 1649362567 NPPES
Indiana MEDICAID 201308880

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