Individual
KAILASH CHANDWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4901 DAWN DR, SUITE 3300, LUMBERTON, NC 28360-8287
(910) 671-9298
(910) 671-4850
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 272-3048
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2012-02074
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD440134
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5922103
—
NC
Enumeration date
04/25/2007
Last updated
11/02/2020
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