| Chander Kanta | |
|
26328 Van Dyke Ave Center Line MI 48015-1215 | |
| (586) 758-3210 | |
| (586) 758-3233 |
| Full Name | Chander Kanta |
|---|---|
| Speciality | Internal Medicine |
| Location | 26328 Van Dyke Ave, Center Line, Michigan |
| Authorized Official Name and Position | Chander Kanta (DOCTOR) |
| Authorized Official Contact | 5867583210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chander Kanta 26328 Van Dyke Ave Center Line MI 48015-1215 Ph: (586) 758-3210 | Chander Kanta 26328 Van Dyke Ave Center Line MI 48015-1215 Ph: (586) 758-3210 |
| NPI Number | 1649329541 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 12/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649329541 | NPI | - | NPPES |
| 104509549 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301065807 (Michigan) | Primary |
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