Individual
DR. HIMABINDU CHANDRASEKHAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 HIGHLAND RD, SUITE D, WATERFORD, MI 48328-2162
(248) 682-3070
(248) 682-3626
Mailing address
3901 HIGHLAND RD, SUITE D, WATERFORD, MI 48328-2162
(248) 682-3070
(248) 682-3626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301077704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F37550
BCBSM
MI
01
—
16762
MCARE
MI
01
—
I122084
HAP
MI
Enumeration date
03/21/2006
Last updated
07/08/2007
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