Individual
ARVIND CHANDRAKANTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NICOLLS RD # HSC, L4 RM 060, STONY BROOK, NY 11794-8480
(631) 444-2975
Mailing address
PO BOX 1559, STONY BROOK ANAESTHESIOLOGY, STONY BROOK, NY 11790-0989
(631) 444-2975
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
259484
NY
207L00000X
Anesthesiology Physician
Primary
44772
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259484
NY STATE LICENSE #
NY
05
—
3041847
—
TN
01
—
ME102028
STATE LICENSE
TN
Enumeration date
06/27/2007
Last updated
12/10/2010
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