Provider Demographics
NPI:1518959386
Name:SAMY, CHANDER N (MD)
Entity Type:Individual
Prefix:DR
First Name:CHANDER
Middle Name:N
Last Name:SAMY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1500 SE MAGNOLIA EXT STE 101
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4452
Mailing Address - Country:US
Mailing Address - Phone:352-622-5183
Mailing Address - Fax:352-629-5026
Practice Address - Street 1:4414 SW COLLEGE RD STE 1462
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4790
Practice Address - Country:US
Practice Address - Phone:352-622-5183
Practice Address - Fax:352-629-5026
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME70354207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL31977OtherBC/BS PROVIDER NUMBER
FL379867400Medicaid
FL31977Medicare PIN
F78496Medicare UPIN