| Smita Chandra M.D. Inc | |
|
130 Tampico Walnut Creek CA 94598-2948 | |
| (925) 933-7970 | |
| Not Available |
| Full Name | Smita Chandra M.D. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 Tampico, Walnut Creek, California |
| Authorized Official Name and Position | Smita Chandra (MD) |
| Authorized Official Contact | 4153070957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smita Chandra M.D. Inc 235 Weber Ln Danville CA 94526-1991 Ph: (415) 307-0957 | Smita Chandra M.D. Inc 130 Tampico Walnut Creek CA 94598-2948 Ph: (925) 933-7970 |
| NPI Number | 1942056395 |
|---|---|
| Provider Enumeration Date | 04/26/2024 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 0749729853 |
|---|---|
| Medicare Enrollment ID | O20240903001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942056395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Smita Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811917826 PECOS PAC ID: 0547241408 Enrollment ID: I20040526001059 |
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