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Individual

DR. SUJANA S. CHANDRASEKHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
18 E 48TH ST FL 2, NEW YORK, NY 10017-1014
(646) 868-4300
(646) 868-4495
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1781921
NY
207YX0901X
Otology & Neurotology Physician
Primary
178192
NY
207YX0901X
Otology & Neurotology Physician
25MA06045800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1180621
AETNA
NY
01
8M0242
BLUE CROSS BLUE SHEILD
NY
01
N96509
HEALTH NET
NY
01
OXFORD
P877572
NY
Enumeration date
10/02/2006
Last updated
07/13/2023
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