National Provider Identifier Database

DB CHANDORA MDPC
Addiction Medicine

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


Contact Information

DB CHANDORA MDPC
362 UPPER RIVERDALE RD SW
RIVERDALE, GA30274-2560
Phone: 404-550-3248
Fax: 770-892-5259
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for DB CHANDORA MDPC

NPI Number 1427484492
Legal business name
LBN
DB CHANDORA MDPC
Authorized official DEEN CHANDORA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/22/2013
Last updated 11/07/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 25954
  • GA Medicaid: 003137472A

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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