Individual
DR. PUSHPA CHANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1552 UNION RD, SUITE C, GASTONIA, NC 28054-5523
(704) 852-9210
(704) 852-9211
Mailing address
1552 UNION RD, SUITE C, GASTONIA, NC 28054-5523
(704) 852-9210
(704) 852-9211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-01390
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8922064
—
NC
Enumeration date
06/03/2006
Last updated
10/24/2011
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