Komal Chandan Physician PLLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

189392 Issued in NY

Legal business name

KOMAL CHANDAN PHYSICIAN PLLC

Practice address

4600 Military Rd
Suite a
Niagara Falls, NY 14305-1338

Phone

(716) 298-4050

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Komal Chandan, M.DNPI 1508896457

Title

Physician

Phone

(716) 298-4050

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Komal Chandan, M.D

  • Adult Medicine Physician
  • Niagara Falls, NY
  • NPI 1508896457
  NPD (past) Authorized official

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1790974269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY RD",
            "address_2": "SUITE A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051338",
            "telephone_number": "716-298-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY RD",
            "address_2": "SUITE A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051338",
            "telephone_number": "716-298-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMAL CHANDAN PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "CHANDAN",
        "authorized_official_first_name": "KOMAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-298-4050",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "189392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01371553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaung M Ko, MD, MPH, CPH
• Rachel Kocur
• Beth A Kolb, PMHNP
• Tammi Koller
• Jayaselvi Kolli, MD
• Layla Komenda
• Maria J Komin, M.D.
• Robert Korpolinski, LCSW-R
• Diana Korzhukova, MS, RD
• Lorrina Christine Kostuk, M.A. CCC-SLP TSSLD/L

• Exclusive Provider Organization in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.