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Individual

JAYANTHI J CHANDAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1601 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33101-6960
(305) 585-6726
(305) 585-7570
Mailing address
1601 NW 12TH AVE, BOX 016960 M-714, MIAMI, FL 33101-6960
(305) 585-6726
(305) 585-7570

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
ME49258
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0486361-00
FL
Enumeration date
06/27/2006
Last updated
01/24/2014
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