Individual
ELIZABETH CHANDY
Active
Individual
ELIZABETH CHANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1046
TX
208M00000X
Hospitalist Physician
M1046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1761918-01
—
TX
05
—
176191802
—
TX
05
—
176191803
—
TX
01
—
8F3315
BCBS
TX
01
—
8M7954
BCBS
TX
01
—
P00315340
RAILROAD MEDICARE
TX
Enumeration date
05/26/2006
Last updated
02/13/2014
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