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Individual

DR. SUNIL CHANDRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4108 WATERMELON RD, NORTHPORT, AL 35473-5130
(205) 366-9898
(205) 366-9896
Mailing address
4108 WATERMELON RD, NORTHPORT, AL 35473-5130
(205) 366-9898
(205) 366-9896

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20650
AL
207R00000X
Internal Medicine Physician
Primary
20650
AL
208D00000X
General Practice Physician
20650
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529905210
AL
Enumeration date
08/15/2006
Last updated
09/24/2013
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