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Organization

CHANDRA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJIV CHANDRA MD (MGRM)
(321) 951-7404
Entity
Organization

Contact information

Practice address
20 E MELBOURNE AVE, MELBOURNE, FL 32901-5970
(321) 951-7404
(321) 951-7405
Mailing address
20 E MELBOURNE AVE, STE 104, MELBOURNE, FL 32901-5970
(321) 951-7404
(321) 951-7405

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
02/10/2009
Last updated
09/01/2010
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