Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036131695 | IL |
N | 111NI0900X | Internist | 036131695 | IL |
N | 207RC0200X | Critical Care Medicine | 036131695 | IL |
N | 207RC0200X | Critical Care Medicine | MD28469 | OR |
N | 207RP1001X | Pulmonary Disease | 036131695 | IL |
Y | 207RP1001X | Pulmonary Disease | MD28469 | OR |
N | 207RS0012X | Sleep Medicine | 036131695 | IL |
NPI | 1033212923 |
---|---|
Provider Name | Dr. Alpana Chandra |
First Address | Roseburg, OR 97470-0414 |
Second Address | Roseburg, OR 97471-1516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 26/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023683 | (05) | OR |