Provider Demographics
NPI:1326377573
Name:KHATRI, CHANDER KUMAR (MD)
Entity Type:Individual
Prefix:
First Name:CHANDER
Middle Name:KUMAR
Last Name:KHATRI
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:CIRCLE HEALTH URGENT CARE
Mailing Address - Street 2:199 BOSTON ROAD
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862
Mailing Address - Country:US
Mailing Address - Phone:978-323-2850
Mailing Address - Fax:
Practice Address - Street 1:1285 BEACON ST
Practice Address - Street 2:PARTNERS URGENT CARE
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5284
Practice Address - Country:US
Practice Address - Phone:617-751-6205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2017-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60 282836207Q00000X
IN01071528A207Q00000X
ALL.3074R207Q00000X
MA267508207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine