Individual
DR. CHANDAN R KUNDAVARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14044 W CAMELBACK RD, STE 118 & 216, LITCHFIELD PARK, AZ 85340-9428
(623) 547-2600
(623) 574-1899
Mailing address
14044 W CAMELBACK RD, STE 118, LITCHFIELD PARK, AZ 85340-9428
(623) 547-2600
(623) 574-1899
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MT190920
PA
Other
Enumeration date
04/18/2008
Last updated
08/19/2015
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