Individual
DR. CHITRA KANDASWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,M.P.H.
Contact information
Practice address
1243 E SPRUCE AVE STE 104, FRESNO, CA 93720-3379
(559) 326-7659
(559) 326-7498
Mailing address
1243 E SPRUCE AVE STE 104, FRESNO, CA 93720-3379
(559) 326-7659
(559) 326-7498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A92981
CA
207RP1001X
Pulmonary Disease Physician
Primary
A92981
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A929810
—
CA
Enumeration date
08/29/2006
Last updated
04/21/2020
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