| Dr Ritu Chandra, MD | |
|
3700 S Railroad St, Suite A, Phenix City, AL 36867-2993 | |
| (334) 664-0463 | |
| (334) 664-0466 |
| Full Name | Dr Ritu Chandra |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3700 S Railroad St, Phenix City, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003890849 | NPI | - | NPPES |
| 009940757 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 26862 (Alabama) | Secondary |
| 208000000X | Pediatrics | MD26862 (Alabama) | Primary |
| Entity Name | Pinnacle Enterprises Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447374640 PECOS PAC ID: 4486816048 Enrollment ID: O20120427000473 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ritu Chandra, MD 3700 S Railroad St, Suite A, Phenix City, AL 36867-2993 Ph: (334) 664-0463 | Dr Ritu Chandra, MD 3700 S Railroad St, Suite A, Phenix City, AL 36867-2993 Ph: (334) 664-0463 |
Farrah-amoy W. Fullerton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 S Railroad St Ste A, Phenix City, AL 36867 Phone: 334-664-0463 | |
Willis Mccoy Privott Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Opelika Rd, Phenix City, AL 36867 Phone: 334-291-0221 Fax: 334-291-1939 |