Organization
KUTTY K CHANDRAN, MD, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUTTY K CHANDRAN MD (PRESIDENT/OWNER)
(954) 755-6400
Entity
Organization
Contact information
Practice address
10161 W SAMPLE RD, SUITE B, CORAL SPRINGS, FL 33065-3954
(954) 755-6400
(954) 753-5172
Mailing address
10161 W SAMPLE RD, SUITE B, CORAL SPRINGS, FL 33065-3954
(954) 755-6400
(954) 753-5172
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME54935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061137900
—
FL
Enumeration date
03/18/2012
Last updated
03/18/2012
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