Kutty K Chandran, MD, PA.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME54935 Issued in FL

Legal business name

KUTTY K CHANDRAN, MD, PA.

Practice address

10161 W Sample Rd
Suite B
Coral Springs, FL 33065-3954

Phone

(954) 755-6400

Fax

(954) 753-5172

NPI assigned

Mar 18, 2012

Last updated

Mar 18, 2012By 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. Kutty K Chandran, MDNPI 1669473799

Title

President/Owner

Phone

(954) 755-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Kutty K Chandran, MD

  • Internal Medicine Physician
  • Coral Springs, FL
  • NPI 1669473799
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332028800000",
    "number": "1972878346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 W SAMPLE RD",
            "address_2": "SUITE B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653954",
            "telephone_number": "954-755-6400",
            "fax_number": "954-753-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 W SAMPLE RD",
            "address_2": "SUITE B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653954",
            "telephone_number": "954-755-6400",
            "fax_number": "954-753-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUTTY K CHANDRAN, MD, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-18",
        "last_updated": "2012-03-18",
        "status": "A",
        "authorized_official_last_name": "CHANDRAN",
        "authorized_official_first_name": "KUTTY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-755-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME54935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061137900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kateryna Kurako, M.D
• Keith Alan Kurland, MD
• Nesreen Helmy Kurtom, D.O.
• Lorena Kuschel, ARNP
• Amber Kuttesch, BCABA
• L a Green PA (Green Chiropractic Center)
• L S Holistic Care Assisted Living, LLC.
• Diane M La Corte, LCSW
• Frank La Corte, C.PH., P.D.
• La Massage by Design

• Primary Care Clinic/Center in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2012; 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.