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Individual

CHANDRAKANT C TAILOR

Active
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Individual

CHANDRAKANT C TAILOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R7452
MO
2085R0202X
Diagnostic Radiology Physician
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006021895
IL BLUE
01
102372
HLINK
01
1078068
MC MCAID
01
1390
MO BLUE
01
1609016
PH PLAN
01
18485
BLUE CHOICE
01
2781
GHP
01
347617
HLT PART
01
4876
HCARE USA
05
49523700581
IL
01
A12405
GATEWAY
Enumeration date
07/31/2006
Last updated
02/29/2008
Update your record

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