Individual
DR. CHANDRAKUMARAN ANCHALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803
(804) 828-9726
Mailing address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803
(804) 828-9726
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
33027
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2017
Last updated
07/29/2021
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