Individual
CHANDER KANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26328 VAN DYKE AVE, CENTER LINE, MI 48015-1215
(586) 758-3210
(586) 758-3233
Mailing address
26328 VAN DYKE AVE, CENTER LINE, MI 48015-1215
(586) 758-3210
(586) 758-3233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301065807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104509549
—
MI
Enumeration date
09/16/2006
Last updated
11/29/2016
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