1225152515 Dr. Mudjianto Chandra, M.D.

Surgery Physician

Active

Basic Information

Full Name
Dr. Mudjianto Chandra, M.D.
Gender
Male
Enumeration Date
March 19, 2007
Last Update
July 9, 2007

Practice Location

Address
18370 BURBANK BLVD
SUITE 607
TARZANA, CA 913562804
Phone
(818) 709-8161
Fax
(818) 709-8160

Mailing Address

Address
18370 BURBANK BLVD
SUITE 607
TARZANA, CA 913562804
Phone
(818) 709-8161
Fax
(818) 709-8160

Specialties & Taxonomies

Specialty Code Classification License State Primary
Surgery Physician
208600000X Surgery A52198 CA No
Colon & Rectal Surgery Physician
208C00000X Colon & Rectal Surgery A52198 CA No

Other Identifiers

Identifier Type State Issuer
00A521980 01 CA BLUE SHIELD
A52198 01 N/A OTHER
A52198 01 N/A TRICARE
P92709600 01 N/A OXFORD
A52198 01 CA BLUE CROSS
00A521980 05 CA N/A

Frequently Asked Questions

What is Dr. Mudjianto Chandra, M.D.'s NPI number?
Dr. Mudjianto Chandra, M.D.'s NPI number is 1225152515.
Which doctor has NPI number 1225152515?
The doctor with NPI number 1225152515 is Dr. Mudjianto Chandra, M.D..
What is Dr. Mudjianto Chandra, M.D.'s practice address?
Dr. Mudjianto Chandra, M.D.'s practice address is 18370 BURBANK BLVD, SUITE 607, TARZANA, CA, 913562804.
Which doctor practices at 18370 BURBANK BLVD, SUITE 607, TARZANA, CA, 913562804?
Dr. Mudjianto Chandra, M.D. practices at 18370 BURBANK BLVD, SUITE 607, TARZANA, CA, 913562804.
What is Dr. Mudjianto Chandra, M.D.'s phone number?
Dr. Mudjianto Chandra, M.D.'s phone number is (818) 709-8161.
Who is (818) 709-8161?
(818) 709-8161 is the phone number for Dr. Mudjianto Chandra, M.D..
What is Dr. Mudjianto Chandra, M.D.'s specialty?
Dr. Mudjianto Chandra, M.D.'s specialty is Surgery Physician.
What type of doctor is Dr. Mudjianto Chandra, M.D.?
Dr. Mudjianto Chandra, M.D. is a Surgery Physician.
Is Dr. Mudjianto Chandra, M.D. a Surgery?
Yes, Dr. Mudjianto Chandra, M.D. is a Surgery.
Is Dr. Mudjianto Chandra, M.D. still practicing?
Yes, Dr. Mudjianto Chandra, M.D. is currently practicing.
Is Dr. Mudjianto Chandra, M.D. accepting new patients?
Dr. Mudjianto Chandra, M.D. may be accepting new patients. Please call their office at (818) 709-8161 to inquire about availability.
Is NPI 1225152515 still active?
Yes, NPI 1225152515 is currently active.
Where does Dr. Mudjianto Chandra, M.D. practice?
Dr. Mudjianto Chandra, M.D. practices in TARZANA, CA.
Is Dr. Mudjianto Chandra, M.D. a male or female doctor?
Dr. Mudjianto Chandra, M.D. is a male doctor.