Individual
VIDHAN CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6425
(507) 288-3443
Mailing address
210 9TH ST SE, ROCHESTER, MN 55904-6425
(507) 288-3443
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43617
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020002000
MEDICARE
—
Enumeration date
05/15/2006
Last updated
01/31/2017
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