Individual
CHITRA SARITA NANDWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18101 OAKWOOD BLVD, MEDICAL EDUCATION OFFICE, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
5201 HEATHER DR, APT R107, DEARBORN, MI 48126-4142
(928) 502-9711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301099388
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301099388
MEDICAL LICENSE NUMBER
MI
Enumeration date
07/17/2011
Last updated
07/17/2011
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