Provider Demographics
NPI:1710233101
Name:CHANDAR, PRARTHNA
Entity Type:Individual
Prefix:
First Name:PRARTHNA
Middle Name:
Last Name:CHANDAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 FORT DUQUESNE DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2708
Mailing Address - Country:US
Mailing Address - Phone:215-713-7165
Mailing Address - Fax:
Practice Address - Street 1:1317 WOLF ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-2934
Practice Address - Country:US
Practice Address - Phone:215-952-9500
Practice Address - Fax:215-755-0010
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD468668207R00000X, 207RP1001X
NJMD468668207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine