Organization
SHOBHA CHANDRA, MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOBHA CHANDRA MD (OWNER)
(248) 698-4000
Entity
Organization
Contact information
Practice address
9229 HIGHLAND RD, WHITE LAKE, MI 48386-2307
(248) 698-4000
(248) 698-1879
Mailing address
9229 HIGHLAND RD, WHITE LAKE, MI 48386-2307
(248) 698-4000
(248) 698-1879
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301034915
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578662540
NPI
MI
01
—
4301034915
LICENSE
MI
Enumeration date
12/31/2007
Last updated
12/31/2007
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