Individual
DR. SHAMIR PRAFUL CHANDARANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FRCS
Contact information
Practice address
1500 E MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CTR RECP A, ANN ARBOR, MI 48109-5312
(734) 936-8051
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301091578
MI
207Y00000X
Otolaryngology Physician
Primary
4301091578
MI
Other
Enumeration date
07/24/2008
Last updated
09/11/2008
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