Provider Demographics
NPI:1386648145
Name:CHANDRAGIRI, NIRANJAN R (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRANJAN
Middle Name:R
Last Name:CHANDRAGIRI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10474 W THUNDERBIRD BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3023
Mailing Address - Country:US
Mailing Address - Phone:623-972-3800
Mailing Address - Fax:623-972-1089
Practice Address - Street 1:10240 W INDIAN SCHOOL RD
Practice Address - Street 2:STE 115
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-5904
Practice Address - Country:US
Practice Address - Phone:623-935-3338
Practice Address - Fax:623-935-3453
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2012-05-30
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Provider Licenses
StateLicense IDTaxonomies
AZ104062084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology