Male or Other

Arvind Chandrakantan MD

Anesthesiology Physician in Stony Brook, NY(View on Map)

Full Name

Arvind Chandrakantan MD

NPI Number

1598962391

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/27/2007

Specialties

(Taxonomies)

Code

207L00000X

Primary Taxonomy

Yes

Licenses

State

New York
Tennessee

License Number

259484
44772

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1559
100 NICOLLS RD # HSC

City

Stony Brook
Stony Brook

State

NY
NY

Postal Code

11790-0989
11794-8480

Country

US
US

Telephone Number

(631) 444-2975
(631) 444-2975

Identifiers

Identifier

259484
3041847
ME102028

Identifier State

NY
TN
TN

Identifier Issuer

NY STATE LICENSE #
Unknown
STATE LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/10/2010

Provider Address

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