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Individual

SUSHMA CHANDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
220 ABRAHAM FLEXNER WAY STE 1200, LOUISVILLE, KY 40202
(502) 584-3377
(502) 584-3480
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 899-3623
(502) 899-7970

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
022984
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
50829
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300010647
IN
05
7100550970
KY
Enumeration date
08/15/2006
Last updated
01/17/2019
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