DB Chandora MDPC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

25954 Issued in GA

Legal business name

DB CHANDORA MDPC

Practice address

362 Upper Riverdale Rd SW
Riverdale, GA 30274-2560

Phone

(404) 550-3248

Fax

(770) 892-5259

NPI assigned

Sep 22, 2013

Last updated

Nov 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deen B Chandora, MDNPI 1841379245

Title

Owner

Phone

(404) 550-3248

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deen B Chandora, M.D.

  • Psychiatry Physician
  • Riverdale, GA
  • NPI 1841379245
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1379808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1427484492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 LAKE FRONT DR",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300477317",
            "telephone_number": "404-550-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 UPPER RIVERDALE RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742560",
            "telephone_number": "404-550-3248",
            "fax_number": "770-892-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DB CHANDORA MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-22",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "CHANDORA",
        "authorized_official_first_name": "DEEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-550-3248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "GA",
            "license": "25954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137472A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Davidson, DPT
• Jamil Eman Davis, PMHNP
• Kayla Davis
• Matthew Edwin Davis, M.D.
• Janet Elizabeth Dawson
• Ciara R Deaton, RN, BSN
• Cynthia C Decamp, FNP
• Tiara Delevoe, MS CCC-SLP
• Karmecia L'Aime Deloach, LPC
• Natacha Destra, LPN

• Addiction Medicine (Psychiatry & Neurology) Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.