Niranjan R. Chandragiri, M.D.

Individual provider Active NPI Neurology Physician · Phoenix, AZ

NPI 1386648145 · NPPES record last updated May 30, 2012

Key facts

NPI
1386648145
Entity type
Individual (NPI type 1)
Primary specialty
Neurology Physician 2084N0400X
License
10406 (AZ)
Practice address
10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037-5904
Phone
(623) 935-3338
Fax
(623) 935-3453
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10406AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Neurological Institute, PC Neurology Past Accepting new patients
Guggiari Med PC Family Medicine Past Accepting new patients
Victor H. Salazar-Calderon, M.D., PC Neurology Past
since Nov 10, 2005
Accepting new patients
Sunterra Oncology Associates LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 10406 AZ Yes

Addresses

Primary practice location

10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037-5904

Mailing address

10474 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351-3023
Phone (623) 972-3800

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Neurology Physician in Arizona

Sources for this page

Verify at the official NPI Registry.