Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT189845 | PA |
N | 111NI0900X | Internist | MT189845 | PA |
Y | 207RC0000X | Internist - Cardiovascular Disease | C10010412 | DE |
NPI | 1013190651 |
---|---|
Provider Name | Dr. Avinash Chandra |
First Address | Newark, DE 19702 |
Second Address | Newark, DE 19713-2065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2007 |
Last Update Date | 08/11/2016 |