Duraiswamy Chandrasekar, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C043336 Issued in CA

Practice address

189 Crestwood Dr
#20
Daly City, CA 94015-3253

Phone

(650) 756-8586

NPI assigned

Aug 15, 2007

Last updated

Aug 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1326230145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 CRESTWOOD DR",
            "address_2": "#20",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153253",
            "telephone_number": "650-756-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 CRESTWOOD DR",
            "address_2": "#20",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153253",
            "telephone_number": "650-756-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASEKAR",
        "first_name": "DURAISWAMY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C043336",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "C043336",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C043336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eve Chan, O.D.
• Monica Chan
• Natalie Chan
• Reynold Chan, MD
• Stephanie Chan
• Avantika Chandrasekhar
• Chuan Skye Chang-Yeh
• Marian Chang, PHARM.D.
• Warren Chang, MD
• Fang-Yu Chao, M.D.

• General Practice Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.