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Individual

DR. RITU CHANDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3700 S RAILROAD ST, SUITE A, PHENIX CITY, AL 36867-2993
(334) 664-0463
(334) 664-0466
Mailing address
3700 S RAILROAD ST, SUITE A, PHENIX CITY, AL 36867-2993
(334) 664-0463
(334) 664-0466

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD26862
AL
2080A0000X
Pediatric Adolescent Medicine Physician
26862
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009940757
AL
Enumeration date
12/05/2005
Last updated
09/25/2014
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