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Contact Information

SANJAY CHANDRAGIRI, MD
1141 CLAY AVE STE 2
DUNMORE, PA18510-1191
 Phone: 570-207-7919
 Fax: 570-963-1953
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SANJAY CHANDRAGIRI · (Male)

NPI Number 1467433060
Status Active
Credentials MD
Entity Individual
Enumeration date 11/10/2005
Last updated 03/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD065361L
  • PA Medicaid 001709170003
Hospital affiliation(s)
  • GEISINGER - COMMUNITY MEDICAL CENTER - (Acute Care)
    1822 MULBERRY STREET
    SCRANTON, PA 18510
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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