Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 16220 | NV |
Y | 2080P0203X | Pediatric Critical Care Doctor | 137212 | CA |
NPI | 1053673863 |
---|---|
Provider Name | Dr. Harsha K Chandnani |
First Address | Loma Linda, CA 92354-2804 |
Second Address | Loma Linda, CA 92354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2012 |
Last Update Date | 18/11/2020 |