Organization
CHANDRA, GAYDEN, PATEL AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV CHANDRA MD (OWNER)
(321) 951-7404
Entity
Organization
Contact information
Practice address
20 E MELBOURNE AVE, 104, MELBOURNE, FL 32901-5970
(321) 951-7404
(321) 309-0735
Mailing address
PO BOX 1460, MELBOURNE, FL 32902-1460
(321) 951-7404
(321) 309-0735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375030200
—
FL
Enumeration date
12/06/2006
Last updated
07/05/2008
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