Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 49938 | AZ |
Y | 111NI0900X | Internist | 49938 | AZ |
N | 207U00000X | Nuclear Medicine Specialist | V0918 | MD |
NPI | 1164569083 |
---|---|
Provider Name | Dr. Ankit Roy Chander |
First Address | Glendale, AZ 85306-1705 |
Second Address | Glendale, AZ 85306-1705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/02/2017 |