Provider Demographics
NPI:1619280567
Name:CHERRY CHANDI, M.D., P.A.
Entity Type:Organization
Organization Name:CHERRY CHANDI, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFC MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-966-2525
Mailing Address - Street 1:2016 FM 407
Mailing Address - Street 2:SUITE 360
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7180
Mailing Address - Country:US
Mailing Address - Phone:972-966-2525
Mailing Address - Fax:972-966-1359
Practice Address - Street 1:2016 FM 407
Practice Address - Street 2:SUITE 360
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7180
Practice Address - Country:US
Practice Address - Phone:972-966-2525
Practice Address - Fax:972-966-1359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-21
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3939207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty