Organization
KOMAL CHANDAN PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOMAL CHANDAN M.D (PHYSICIAN)
(716) 298-4050
Entity
Organization
Contact information
Practice address
4600 MILITARY RD, SUITE A, NIAGARA FALLS, NY 14305-1338
(716) 298-4050
Mailing address
4600 MILITARY RD, SUITE A, NIAGARA FALLS, NY 14305-1338
(716) 298-4050
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
189392
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01371553
—
NY
Enumeration date
10/19/2007
Last updated
01/03/2012
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