Deen B Chandora, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

025954 Issued in GA

Practice address

362 Upper Riverdale Rd SW
Riverdale, GA 30274-2560

Phone

(404) 550-3248

Fax

(770) 638-4150

NPI assigned

Nov 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• DB Chandora MDPC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Riverdale, GA
  • NPI 1427484492
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841379245",
    "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",
            "fax_number": "770-638-4150"
        },
        {
            "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": "770-638-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDORA",
        "first_name": "DEEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "025954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000345749B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khyandria Denae Celestine, OT
• Center Neurology, P.C.
• Center of Hope for Cancers and Blood Disorders
• Purna L Chadalawada, MD
• Aalok Chandora, M.D.
• Chinh Chau
• CHI'S the LLC
• Choice Personal Care Home
• Christian Ministries Hospice, Inc
• Nakisha Maria Christian

• Psychiatry Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.