Individual
DR. CHANDIRA K MENDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4 W TOWNSHIP LINE RD, EAST NORRITON, PA 19401-1559
(484) 416-0880
(484) 416-0660
Mailing address
4 W TOWNSHIP LINE RD, EAST NORRITON, PA 19401-1559
(484) 416-0880
(484) 416-0660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD072006L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001817015
—
PA
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
05/19/2006
Last updated
05/09/2011
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