Komal Chandan Physician Pllc in Niagara Falls - Exclusive Provider Organization

Komal Chandan Physician Pllc - NPI 1790974269

Komal Chandan Physician Pllc is a Exclusive Provider Organization in Niagara Falls, New York. Komal Chandan Physician Pllc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Komal Chandan Physician Pllc is 1790974269. The last update date is 2012-01-03.

Komal Chandan Physician Pllc's current location address is 4600 Military Rd, Niagara Falls, New York. You can contact this provider via phone number 7162984050. The mailing address for Komal Chandan Physician Pllc is 4600 Military Rd, Niagara Falls, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Komal Chandan Physician Pllc
Address 4600 Military Rd, Niagara Falls, New York
Phone Number 7162984050
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Chandan Komal
Credentials M.D
Telephone Number 7162984050

NPI Number Detail

NPI Number 1790974269
Provider Enumeration Date 2007-10-19
Last Updated Date 2012-01-03

Provider Mailing Address Detail

Address 4600 Military Rd
City Niagara Falls
State New York (NY)
Post Code 143051338
Phone Number 7162984050
Fax Number

Provider's Primary Taxonomy Detail

Speciality Exclusive Provider Organization
Taxonomy 302F00000X
Licence No 189392
Definition:
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1371553 NY --

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FAQs about Komal Chandan Physician Pllc

What is the unique 10-digit identifier code issued to Komal Chandan Physician Pllc by the Centers for Medicare & Medicaid Services?

The Komal Chandan Physician Pllc has been assigned the NPI (National Provider Identifier) 1790974269 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Komal Chandan Physician Pllc is geographically located?

The Komal Chandan Physician Pllc is physically situated at the following location: 4600 Military Rd, Niagara Falls, NY, 143051338.

What is Komal Chandan Physician Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Komal Chandan Physician Pllc is Exclusive Provider Organization, and the taxonomy classification code that categorizes this area of expertise is 302F00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1790974269 to Komal Chandan Physician Pllc?

The Centers for Medicare & Medicaid Services assigned the 1790974269 to Komal Chandan Physician Pllc on 2007-10-19.

As of what date was the information regarding Komal Chandan Physician Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Komal Chandan Physician Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-03.

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