Provider Demographics
NPI:1013577527
Name:CHANDRAKUMAR, HARSHITH PRIYAN
Entity Type:Individual
Prefix:
First Name:HARSHITH
Middle Name:PRIYAN
Last Name:CHANDRAKUMAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SUNY DOWNSTATE
Mailing Address - Street 2:450 CLARKSON AVENUE, MSC-50
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2012
Mailing Address - Country:US
Mailing Address - Phone:718-270-1566
Mailing Address - Fax:
Practice Address - Street 1:SUNY DOWNSTATE
Practice Address - Street 2:450 CLARKSON AVENUE, MSC-50
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2012
Practice Address - Country:US
Practice Address - Phone:718-270-1566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program