| Suvrat Chandra, DO | |
|
5331 W 79th St, Burbank, IL 60459-3500 | |
| (708) 422-9577 | |
| Not Available |
| Full Name | Suvrat Chandra |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 5331 W 79th St, Burbank, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417584657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 321391 (New York) | Secondary |
| 208M00000X | Hospitalist | 321391 (New York) | Secondary |
| 207R00000X | Internal Medicine | 036.172730 (Illinois) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124550280 PECOS PAC ID: 2264691070 Enrollment ID: O20121227000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Suvrat Chandra, DO 1 Gustave L Levy Pl, New York, NY 10029-6504 Ph: () - | Suvrat Chandra, DO 5331 W 79th St, Burbank, IL 60459-3500 Ph: (708) 422-9577 |
Dr. Ana M Nowell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070 | |
Humberto Deleon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070 | |
Dr. Sandeep Chandra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7903 Lockwood Ave, Burbank, IL 60459 Phone: 708-422-9577 Fax: 708-422-8101 | |
Waqar Mian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 844-725-5238 Fax: 708-346-8285 | |
Khursheed Gir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070 | |
Charmi Vijay Desai, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 | |
Roman O Kozyckyj, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 844-725-5238 |