Provider Demographics
NPI:1659709384
Name:CHANDALIA ABATE PLLC
Entity Type:Organization
Organization Name:CHANDALIA ABATE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDALIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-371-6674
Mailing Address - Street 1:901 KIPP AVE
Mailing Address - Street 2:
Mailing Address - City:KEMAH
Mailing Address - State:TX
Mailing Address - Zip Code:77565-2944
Mailing Address - Country:US
Mailing Address - Phone:281-371-6674
Mailing Address - Fax:281-371-6682
Practice Address - Street 1:4002 GARTH RD STE 120
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3179
Practice Address - Country:US
Practice Address - Phone:281-371-6674
Practice Address - Fax:281-371-7782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty