Individual
NILIMA PRASAD CHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1031 E KARSCH BLVD, FARMINGTON, MO 63640-3404
(573) 756-7880
(573) 756-2669
Mailing address
PO BOX 107, FARMINGTON, MO 63640-0107
(573) 756-7880
(573) 756-2669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101058
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110175390
RAILROAD MEDICARE
—
05
—
208566216
—
MO
05
—
505183608
—
MO
05
—
590121307
—
MO
05
—
595444209
—
MO
Enumeration date
07/17/2006
Last updated
03/12/2014
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