DB CHANDORA MDPC – NPI #1427484492
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

DB CHANDORA MDPC is a psychiatry & neurologist located in RIVERDALE, GA. NPPES has assigned the NPI number 1427484492 to DB CHANDORA MDPC on September 22, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was previously updated about 13 years ago on Nov 07, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DB CHANDORA MDPC below.

NPI Profile for
DB CHANDORA MDPC

NPI Number
1427484492
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DB CHANDORA MDPC
Primary location
362 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2560
Phone: (404) 550-3248 Fax: (770) 892-5259
Mailing address
565 LAKE FRONT DR
LILBURN, GA 30047-7317
Phone: (404) 550-3248 Fax:
Organization Subpart
No
Authorized Official
DEEN CHANDORA
OWNER
Phone: (404) 550-3248
Updated
Identifiers

Identifiers for DB CHANDORA MDPC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA003137472A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)
GA 25954

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.