Provider Demographics
NPI:1265696348
Name:CHANDRA, SUNANDANA (MD)
Entity type:Individual
Prefix:
First Name:SUNANDANA
Middle Name:
Last Name:CHANDRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 N. MICHIGAN AVENUE, SUITE 1006
Mailing Address - Street 2:NORTHWESTERN MEDICINE DEVELOPMENTAL THERAPEUTICS INST
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:517-896-3576
Mailing Address - Fax:
Practice Address - Street 1:645 N. MICHIGAN AVENUE
Practice Address - Street 2:SUITE 1006
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:517-896-3576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262115207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology