Individual
SAMIR CHANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(678) 928-9759
(678) 928-9759
Mailing address
PO BOX 200096, CARTERSVILLE, GA 30120-9002
(678) 928-9759
(678) 928-9759
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
054802
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279645585
—
GA
01
—
511I300173
MEDICARE ID
—
Enumeration date
12/01/2007
Last updated
11/04/2014
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