Provider Demographics
NPI:1336462670
Name:CHANDRA, ANKUR (MD)
Entity Type:Individual
Prefix:
First Name:ANKUR
Middle Name:
Last Name:CHANDRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 652
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-8410
Mailing Address - Country:US
Mailing Address - Phone:585-275-6772
Mailing Address - Fax:585-756-7752
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 652
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-8410
Practice Address - Country:US
Practice Address - Phone:585-275-6772
Practice Address - Fax:585-756-7752
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA824102086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery