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Individual

DR. TEJWANT SINGH CHANDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1507 N ROAD ST, STE 3, ELIZABETH CITY, NC 27909-3243
(252) 335-2963
(252) 335-2636
Mailing address
1507 N ROAD ST, STE 3, ELIZABETH CITY, NC 27909-3243
(252) 335-2963
(252) 335-2636

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9701713
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110213096
MEDICARE RR RETIREMENT
01
111692
SENTARA
01
1170C
BCBS
NC
01
2261582A
MEDICARE
01
2344538
MEDICARE
01
26741
PARTNERS
01
29476
SENTARA
01
295434
MAMSI
01
432487
BCBS
VA
01
522238390
UNITED HEALTHCARE
01
7203205
CIGNA
05
89011F5
NC
05
891170C
NC
01
96698
MEDCOST
01
E52223839091229
AETNA US HEALTHCARE
01
PR72032050001
CIGNA
Enumeration date
07/19/2005
Last updated
02/08/2010
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