Organization Active NPI

Chandra LLC

  • Specialist
  • Melbourne, FL
National Provider Identifier
1356580690
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHANDRA LLC
Practice address
20 E Melbourne Ave
Melbourne, FL 32901-5970
Phone
(321) 951-7404
Fax
(321) 951-7405
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Dr. Rajiv Chandra, MD
Title
MGRM
Phone
(321) 951-7404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

20 E Melbourne Ave
Melbourne, FL 32901-5970

Mailing address

20 E Melbourne Ave
Ste 104
Melbourne, FL 32901-5970
Phone (321) 951-7404

National Provider Directory

National Provider Directory

Locations

20 E Melbourne Ave
Ste 104
Melbourne, FL 32901
Phone (321) 308-2500

65 E Nasa Blvd
Ste 101
Melbourne, FL 32901
Phone (321) 541-1970

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1356580690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E MELBOURNE AVE",
            "address_2": "STE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015970",
            "telephone_number": "321-951-7404",
            "fax_number": "321-951-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E MELBOURNE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015970",
            "telephone_number": "321-951-7404",
            "fax_number": "321-951-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDRA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "CHANDRA",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "321-951-7404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.