Organization
CHANDA S DIHENIA MD PA
Active
Organization
CHANDA S DIHENIA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDA S DIHENIA MD (OWNER)
(806) 771-7720
Entity
Organization
Contact information
Practice address
3619 22ND PL, LUBBOCK, TX 79410-1317
(806) 771-7720
(806) 771-7721
Mailing address
3619 22ND PL, LUBBOCK, TX 79410-1317
(806) 771-7720
(806) 771-7721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178691501
—
TX
Enumeration date
06/12/2006
Last updated
06/04/2008
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