Candrika Dini Khairani, MD
Student in an Organized Health Care Education/Training Program in Rochester, NY. Individual provider (NPI-1).
NPI number1174366181
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1174366181
- Entity type
- Individual (NPI-1)
- Name
- Candrika Dini Khairani
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2024
- Certification date
- Jun 17, 2024
- Last updated
- Jun 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1425 Portland AveRochester, NY 14621-3011
Phone 585-922-4000
Mailing address
1425 Portland AveRochester, NY 14621-3011
Phone 585-922-4000
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