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Individual

MRS. USHA CHANDRAHASA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3400 TAMIAMI TRL, STE 201, PORT CHARLOTTE, FL 33952-8102
(941) 743-2277
(941) 743-2275
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME84695
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17055
BCBS FL
FL
Enumeration date
09/01/2005
Last updated
09/08/2021
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