Individual
CHANDAN SINGH THETHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
1605 W KEM RD, MARION, IN 46952-1735
(765) 668-8800
(765) 668-8814
Mailing address
1410 N MARLIN DR, MARION, IN 46952-1536
(765) 662-7454
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
01034323
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100123880
—
IN
Enumeration date
10/24/2006
Last updated
07/08/2007
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