Mendis, Chandira K

Mendis, Chandira K is an sole proprietor health care provider with primary practice located at 4 W Township Line Rd , East Norriton PA 19401-1559. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mendis, Chandira K can be contacted via phone (484) 416-0880.

Contact Information

Primary practice address
4 W Township Line Rd East Norriton PA 19401-1559
Fax: (484) 416-0660
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD072006L Pennsylvania

Profile Details

NPI number 1669425591
LBN Legal business name Mendis, Chandira K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated May 9th, 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 1669425591 NPPES
Pennsylvania MEDICAID 001817015
Pennsylvania Other 232359401

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