Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 43059 | KY |
Y | 207YP0228X | Pediatric Otolaryngology | 43059 | KY |
NPI | 1477573236 |
---|---|
Provider Name | Swapna Kartha Chandran |
First Address | Chicago, IL 60677-6879 |
Second Address | Louisville, KY 40202-1713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 11/12/2020 |