Individual
HIMANSHU V CHANDARANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3380 66TH ST N, ST PETERSBURG, FL 33710-1539
(727) 345-8179
(727) 345-7484
Mailing address
3380 66TH ST N, ST PETERSBURG, FL 33710-1539
(727) 345-8179
(727) 345-7484
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME0044422
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME0044422
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME0044422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040667800
—
FL
01
—
290001234
RAILROAD MEDICARE
FL
01
—
62541
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
10/11/2005
Last updated
07/21/2022
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