Individual
MADHULIKA CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
306 WESTWOOD AVE STE 401, HIGH POINT, NC 27262-4342
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200400308
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285682310
WSCA GRP NPI #
NC
01
—
136T3
BCBS ID#
NC
05
—
1912987082
—
VA
01
—
804339
PARTNERS ID#
NC
05
—
89136T3
—
NC
Enumeration date
01/17/2006
Last updated
03/07/2023
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