Dr. Samuel A Chandra, MD
Internal Medicine, Critical Care Medicine in Saint Louis, MO. Individual provider (NPI-1).
NPI number1124010772
StatusActive
Last updated in NPPESJun 11, 2018
Details
- NPI
- 1124010772
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samuel A Chandra
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2005
- Last updated
- Jun 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | 036.109888 | IL | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 114178 | MO |
Practice location
11133 Dunn RdSaint Louis, MO 63136
Phone 314-747-3581 · Fax 314-747-1710
Mailing address
660 S Euclid AveCb 8054
Saint Louis, MO 63110-1010
Phone 314-747-3581 · Fax 314-747-1710
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