Individual
DR. KISHAN CHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4020 CALUMET AVE, HAMMOND, IN 46320-1129
(219) 933-4889
(219) 933-3153
Mailing address
PO BOX 704, HAMMOND, IN 46325-0704
(219) 933-4889
(219) 933-3153
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01031453
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095348
BLUE SHIELD
IN
01
—
0001616631
BLUE SHIELD
IL
01
—
010036024
RAILROAD MEDICARE
IN
05
—
100206500A
—
IN
Enumeration date
04/28/2006
Last updated
09/04/2013
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