Individual
DR. SUMESH CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13801 BRUCE B DOWNS BLVD STE 201, TAMPA, FL 33613-3937
(813) 977-5557
(813) 972-9211
Mailing address
13801 BRUCE B DOWNS BLVD STE 201, TAMPA, FL 33613-3937
(813) 977-5557
(813) 972-9211
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME0034899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039760100
—
FL
05
—
270620200
—
FL
01
—
30302
BCBS INDIVIDUAL
FL
01
—
410111141
RR MCARE INDIVIDUAL
FL
01
—
74830
BCBS GROUP
FL
01
—
DB6684
RR MCARE GRUOUP
FL
Enumeration date
09/02/2005
Last updated
07/13/2021
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