# DB CHANDORA MDPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427484492
- **Authorized official:** DR. DEEN B CHANDORA MD (OWNER)
- **Authorized official phone:** (404) 550-3248

## Contact information

- **Practice address:** 362 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2560
- **Practice address phone:** (404) 550-3248
- **Practice address fax:** (770) 892-5259
- **Mailing address:** 565 LAKE FRONT DR, LILBURN, GA 30047-7317
- **Mailing address phone:** (404) 550-3248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 25954 | GA | Yes |

## Other

- **Enumeration date:** 09/22/2013
- **Last updated:** 11/07/2013