Provider Demographics
NPI:1457891731
Name:CHAND, VANDANA
Entity Type:Individual
Prefix:
First Name:VANDANA
Middle Name:
Last Name:CHAND
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 1:3525 34TH ST
Mailing Address - Street 2:APT C-33
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-1972
Mailing Address - Country:US
Mailing Address - Phone:347-924-7080
Mailing Address - Fax:
Practice Address - Street 1:3525 34TH ST
Practice Address - Street 2:APT C-33
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-1972
Practice Address - Country:US
Practice Address - Phone:347-924-7080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program