Individual
DR. CHANDRAKANT H PUJARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4020 VENOY RD, SUITE 200, WAYNE, MI 48184-1869
(734) 729-6710
(734) 729-6715
Mailing address
5298 POND BLUFF DR, WEST BLOOMFIELD, MI 48323-2442
(734) 459-7444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
CP036190
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352210175
TAX ID
MI
05
—
4585694
—
MI
Enumeration date
03/23/2006
Last updated
02/20/2014
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