Individual
PREETI CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5720
(410) 328-2718
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5720
(410) 328-5685
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D72352
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440801200
—
MD
01
—
974670-01
CAREFIRST BC/BS
MD
01
—
S062-0434
CAREFIRST BC/BS REGIONAL
MD
Enumeration date
08/21/2006
Last updated
05/29/2012
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