Individual
INDRANEE ELANCHENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
889 HARMONY HILL RD, WEST CHESTER, PA 19380-1894
(610) 269-8931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD026593E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019312
AETNA
—
01
—
087712
PABS-P4
PA
Enumeration date
10/10/2005
Last updated
07/21/2022
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