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Individual

DR. KYATHANAHALLY M. DINESH CHANDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 UNIVERSITY BLVD E, SUITE 711, TUSCALOOSA, AL 35401-2086
(205) 345-2255
Mailing address
701 UNIVERSITY BLVD E, SUITE 711, TUSCALOOSA, AL 35401-2086
(205) 345-2255

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25473
AL
207RP1001X
Pulmonary Disease Physician
Primary
25473
AL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25473
AL

Other

Enumeration date
02/28/2007
Last updated
08/16/2012
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