Nisha Chandran
MD | Pediatrics | Female
Nisha Chandran, MD is a Rockford, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nisha Chandran is
621 Roxbury Rd, Rockford, Illinois - 61107-5077. She can be contacted on phone at
815-397-3350 and fax number 815-227-2992.
Nisha Chandran is a sole proprietor of her business.
NPI number (Unique professional ID) for Nisha Chandran is
1649299967 which was assigned by NPPES on 18 Jul, 2006 and it was last updated on 02 May, 2012.
Nisha Chandran license number is
036114562 for Pediatrics (208000000X) in Illinois.
Nisha Chandran is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nisha Chandran basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nisha Chandran |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Nisha Chandran address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 621 Roxbury Rd
Rockford, IL, 61107-5077
United States |
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| Phone Number : | 815-397-3350 |
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| Fax Number : | 815-227-2992 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649299967 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jul, 2006 |
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| Last Updated On : | 02 May, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nisha Chandran are as mentioned. Primary taxonomy code for Nisha Chandran, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | 036114562 | IL |
| 208000000X | Pediatrics | Yes | 036114562 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Nisha Chandran such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 05632081 | Other | IL | BLUE CROSS BLUE SHIELD |
| 07100059 | Other | IL | IL HEALTH CONNECT |
| 036114562 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 621 Roxbury Rd
Rockford, IL, 61107-5077
United States |
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| Phone Number : | 815-397-3350 |
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| Fax Number : | 815-227-2992 |
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Business Location:
Patients can refer following map for directions to
Nisha Chandran practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.