Provider Demographics
NPI:1942255187
Name:CHANDER, BALA R (MD)
Entity Type:Individual
Prefix:DR
First Name:BALA
Middle Name:R
Last Name:CHANDER
Suffix:
Gender:M
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:PO BOX 593
Mailing Address - Street 2:
Mailing Address - City:CASTLE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:12511-0593
Mailing Address - Country:US
Mailing Address - Phone:845-223-6214
Mailing Address - Fax:
Practice Address - Street 1:VA HUDSON VALLEY HEALTH CARE
Practice Address - Street 2:2094 ALBANY POST ROAD
Practice Address - City:MONTROSE
Practice Address - State:NY
Practice Address - Zip Code:10540
Practice Address - Country:US
Practice Address - Phone:845-223-6214
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2223852085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology