Individual
DR. DINESH NARASIMHAIAH CHANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1218 WALTER REED RD, FAYETTEVILLE, NC 28304-4440
(910) 323-1671
(910) 323-9656
Mailing address
2817 REILLY ST, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
9401391
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22072
BLUE CROSS/BLUE SHIELD OF NC
NC
01
—
390005016
MEDICARE RAILROAD
NC
05
—
8922072
—
NC
Enumeration date
07/01/2006
Last updated
03/03/2017
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