Individual
BOBBY CHANDOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 WALT WHITMAN RD STE 100B, HUNTINGTON STATION, NY 11746-3631
(631) 425-1000
(631) 425-1008
Mailing address
33 WALT WHITMAN RD STE 100B, HUNTINGTON STATION, NY 11746-3631
(631) 425-1000
(631) 425-1008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
232641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087399
GHI-HMO
—
01
—
060206000159
FIDELISCARE OF NY
—
01
—
10110711-UI04
CDPHP PROVIDER # & GRP #
—
01
—
2589701
GHI-PPO
—
01
—
264AQ1
EMPIRE BC-BS
—
01
—
3761366
AETNA-HMO
—
01
—
388168
MVP HEALTHPLAN
—
01
—
3C5202
HEALTHNET -GRP #
—
01
—
7905618
AETNA - PPO
—
01
—
NWH-TAX ID
BEECH STREET
—
01
—
P3506922
OXFORD HEALTH PLAN
—
Enumeration date
09/13/2005
Last updated
12/07/2020
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