Provider Demographics
NPI:1922350677
Name:CHANDER PLLC
Entity Type:Organization
Organization Name:CHANDER PLLC
Other - Org Name:SMART HEART CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MNG MBR
Authorized Official - Prefix:
Authorized Official - First Name:KESHAV
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-473-5333
Mailing Address - Street 1:8970 W TROPICANA AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8137
Mailing Address - Country:US
Mailing Address - Phone:702-473-5333
Mailing Address - Fax:702-473-5444
Practice Address - Street 1:8970 W TROPICANA AVE STE 6
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8137
Practice Address - Country:US
Practice Address - Phone:702-473-5333
Practice Address - Fax:702-473-5444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14636207R00000X
NV14381207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty