Provider Demographics
NPI:1083687222
Name:CHANDY, FRANCIS (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:
Last Name:CHANDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6971 W SUNRISE BLVD
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-4407
Mailing Address - Country:US
Mailing Address - Phone:954-791-5900
Mailing Address - Fax:954-791-7890
Practice Address - Street 1:6971 W SUNRISE BLVD
Practice Address - Street 2:SUITE # 103
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-4407
Practice Address - Country:US
Practice Address - Phone:954-791-5900
Practice Address - Fax:954-791-7890
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2010-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 0042291207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL045804000Medicaid
FL94158Medicare ID - Type Unspecified
FL045804000Medicaid