Individual
THONGADI R CHANDRAHASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 TAMIAMI TRL, SUITE 201, PORT CHARLOTTE, FL 33952-8102
(941) 743-2277
(941) 743-2275
Mailing address
PO BOX 496498, PORT CHARLOTTE, FL 33949-6498
(941) 743-2277
(941) 743-2275
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME32635
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME32635
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME32635
FL
Other
Enumeration date
11/10/2005
Last updated
03/05/2008
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