Samuel, Chandy C

Samuel, Chandy C is an individual health care provider with primary practice located at 3625 Quail Ridge Rd , Winfield KS 67156-8881. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Samuel, Chandy C can be contacted via phone (620) 221-6100.

Contact Information

Primary practice address
3625 Quail Ridge Rd Winfield KS 67156-8881
Phone: (620) 221-6100
Fax: (620) 221-7680
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0416859 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-16859 Kansas

Profile Details

NPI number 1528052297
LBN Legal business name Samuel, Chandy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Oct 20th, 2008 - about 17 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 1528052297 NPPES
Kansas MEDICAID 100085170A

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