Active NPI
Chitra Sarita Nandwani, M.D.
- Internal Medicine Physician
- Dearborn, MI
National Provider Identifier
1528356151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301099388
- Practice address
- 18101 Oakwood Blvd
Medical Education Office
Dearborn, MI 48124-4089 - Phone
- (313) 593-7000
- NPI assigned
- Jul 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301099388 | MI | Primary |
Addresses
Primary practice location
18101 Oakwood Blvd
Medical Education Office
Dearborn, MI 48124-4089
Mailing address
5201 Heather Dr
Apt R107
Dearborn, MI 48126-4142
Phone (928) 502-9711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301099388 | Other | MI | MEDICAL LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301099388 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310860800000",
"number": "1528356151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 HEATHER DR",
"address_2": "APT R107",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264142",
"telephone_number": "928-502-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"address_2": "MEDICAL EDUCATION OFFICE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244089",
"telephone_number": "313-593-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANDWANI",
"first_name": "CHITRA",
"middle_name": "SARITA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-17",
"last_updated": "2011-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301099388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "4301099388",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.