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JOSEPH J CHANDA MD PA NPI 1831145200


NPI Information

NPI: 1831145200
Provider Name: JOSEPH J CHANDA MD PA
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
207 SILVER PALM AVE
MELBOURNE, FL
ZIP 32901
Phone: (321) 724-4010
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JOSEPH J CHANDA MD PA is a procedural dermatology dermatology in Melbourne, FL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). JOSEPH J CHANDA MD PA NPI is 1831145200. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

207 SILVER PALM AVE
MELBOURNE, FL
ZIP 32901-143
Phone: (321) 724-4010
Fax: (321) 722-0442

The provider's authorized official is Joseph John Chanda .
The authorized official title is President and has the following contact phone number (321) 724-4010.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 11/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural DermatologyME32634FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERCCN
205392MEDICARE ID-TYPE UNSPECIFIED
3037366400MEDICAIDFLORIDA
4=========OTHERUNITED HEALTH CARE
5=========OTHERTRICARE SOUTH/HUMANA MIL.
6=========OTHERHUMANA
7=========OTHERFLORIDAHEALTH FIRST HEALTH PLANS
8D51268MEDICARE UPIN
905392OTHERFLORIDABCBS OF FLORIDA
10406073261OTHERRAILROAD MEDICARE
11=========OTHERMULTIPLAN
12=========OTHERFIRST HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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