Sumesh Chandra MD PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME0034899 Issued in FL

Legal business name

SUMESH CHANDRA MD PA

Practice address

13801 Bruce B Downs Blvd Ste 201
Tampa, FL 33613-3937

Phone

(813) 977-5557

Fax

(813) 972-9211

NPI assigned

Sep 21, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sumesh Chandra, MD

Title

Owner - President

Phone

(813) 977-5557

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Endocrine, Osteoporosis & Thyroid Care Center Doing business as
• Endocrine, Osteoporosis, and Thyroid Care Center Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1053307488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133937",
            "telephone_number": "813-977-5557",
            "fax_number": "813-972-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133937",
            "telephone_number": "813-977-5557",
            "fax_number": "813-972-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMESH CHANDRA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "CHANDRA",
        "authorized_official_first_name": "SUMESH",
        "authorized_official_title_or_position": "OWNER - PRESIDENT",
        "authorized_official_telephone_number": "813-977-5557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME0034899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270620200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "74830",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE GROUP",
            "identifier": "DB6684",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrine, Osteoporosis & Thyroid Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Endocrine, Osteoporosis, and Thyroid Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Reshma Sulthana
• Andrew Sultzbaugh, MD
• Sue Jean Sultzer, LMT
• Shakiyah Suluki, BCBA
• Sumaira Fayyaz Khan MD LLC
• Laurel Summa
• Michael Anthony Summa Jr., D.C
• Jessica Summerlin
• Earlene Alicia Summerline - Steele, OTR
• Christopher Summers, PH.D.

• Endocrinology, Diabetes & Metabolism Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.