Individual
CHANDUR PIRYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 ROOSEVELT RD, NIAGARA, WI 54151-1043
(888) 724-6377
(888) 214-9699
Mailing address
1601 ROOSEVELT RD, PO BOX 6, NIAGARA, WI 54151-1043
(888) 724-6377
(888) 214-9699
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
41270
WI
208VP0014X
Interventional Pain Medicine Physician
4301075144
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050076128
RAILROAD MEDICARE
MI
01
—
050076130
RAILROAD MEDICARE
WI
01
—
050B210120
BCBS
MI
01
—
1024529
PREFERRED ONE
—
05
—
32526700
—
WI
05
—
4162339
—
MI
Enumeration date
02/02/2006
Last updated
08/26/2010
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