Provider Demographics
NPI:1578519971
Name:IMRAN, CHANTEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHANTEL
Middle Name:
Last Name:IMRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 KIRKWOOD HWY
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-6828
Mailing Address - Country:US
Mailing Address - Phone:302-454-1222
Mailing Address - Fax:302-737-4263
Practice Address - Street 1:2707 KIRKWOOD HWY
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-6828
Practice Address - Country:US
Practice Address - Phone:302-454-1222
Practice Address - Fax:302-737-4263
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0005997207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology