Individual
DR. MAHESH DUTT CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4911 S ARROWHEAD DR, SUITE 200, INDEPENDENCE, MO 64055-7005
(816) 795-9595
(816) 795-1188
Mailing address
4911 S ARROWHEAD DR, SUITE 200, INDEPENDENCE, MO 64055-7005
(816) 795-9595
(816) 795-1188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33977
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04888077
BLUE CROSS BLUE SHIELD
MO
05
—
1013925866
—
MO
05
—
200579980 A
—
KS
05
—
205168511
—
MO
Enumeration date
08/04/2006
Last updated
09/09/2009
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