Individual
DR. BHAVINI S CHANDARANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 ROUTE 34 STE 135, COLTS NECK, NJ 07722-2444
(732) 414-6499
(844) 890-8439
Mailing address
PO BOX 69, COLTS NECK, NJ 07722-0069
(732) 414-6499
(844) 890-8439
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MA07852000
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA07852000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089214
—
NJ
01
—
096153ZFCC
MEDICARE PTAN
NJ
01
—
P01924026
MEDICARE RAILROAD
NJ
Enumeration date
07/19/2006
Last updated
09/28/2021
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