Sanjay Chandragiri in Dunmore - Psychosomatic Medicine
Sanjay Chandragiri - NPI 1467433060
Sanjay Chandragiri is a Psychosomatic Medicine in Dunmore, Pennsylvania. Sanjay Chandragiri practices all healthcare services and medical treatments related to Psychosomatic Medicine. The NPI Number for Sanjay Chandragiri is 1467433060. The last update date is 2022-03-15.
Sanjay Chandragiri's current location address is 1141 Clay Ave Ste 2, Dunmore, Pennsylvania. You can contact this provider via phone number 5702077919 and fax number 5709631953. The mailing address for Sanjay Chandragiri is 1141 Clay Ave Ste 2, Dunmore, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sanjay Chandragiri |
|---|---|
| Address | 1141 Clay Ave Ste 2, Dunmore, Pennsylvania |
| Phone Number | 5702077919 |
| Fax Number | 5709631953 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467433060 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2022-03-15 |
Provider Mailing Address Detail
| Address | 1141 Clay Ave Ste 2 |
|---|---|
| City | Dunmore |
| State | Pennsylvania (PA) |
| Post Code | 185101191 |
| Phone Number | 5702077919 |
| Fax Number | 5709631953 |
Provider's Primary Taxonomy Detail
| Speciality | Psychosomatic Medicine |
|---|---|
| Taxonomy | 2084P0015X |
| Licence No | MD065361L |
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Definition: Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical o |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1709170003 | PA | -- |
Post Comment/ Review Below
What is the Sanjay Chandragiri's unique identification number?
The Sanjay Chandragiri has been assigned the NPI (National Provider Identifier) Number 1467433060 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Sanjay Chandragiri's physical address?
The Sanjay Chandragiri is physically located at 1141 Clay Ave Ste 2, in the city of Dunmore, PA, with the postal code 185101191.
What is Sanjay Chandragiri's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sanjay Chandragiri's area of specialization is Psychosomatic Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2084P0015X.
On what date did the Sanjay Chandragiri receive the assignment of its 1467433060 from the Centers for Medicare & Medicaid Services?
The Sanjay Chandragiri was issued its 1467433060 by the Centers for Medicare & Medicaid Services on 2005-11-10.
As of what date were the details related to Sanjay Chandragiri most recently updated or revised?
The information pertaining to Sanjay Chandragiri, including its address, specialty, and other relevant details, was last updated or revised on 2022-03-15.