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Individual

HARISH CHANDNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2104 PATTERSON DRIVE, VICTORIA, TX 77901
(361) 580-2200
(361) 580-2201
Mailing address
2104 PATTERSON DRIVE, VICTORIA, TX 77901
(361) 580-2200
(361) 580-2201

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K6546
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154290402
TX
01
8DD944
BLUE CROSS BLUE SHIELDS
TX
Enumeration date
08/10/2006
Last updated
01/23/2024
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