Provider Demographics
NPI:1265134076
Name:MCGRAW, CHANTAL (MD)
Entity type:Individual
Prefix:
First Name:CHANTAL
Middle Name:
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHANTAL
Other - Middle Name:AIMEE
Other - Last Name:CANDANEDO GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11750 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3530
Mailing Address - Country:US
Mailing Address - Phone:754-243-4153
Mailing Address - Fax:305-485-2962
Practice Address - Street 1:11750 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3530
Practice Address - Country:US
Practice Address - Phone:305-480-6602
Practice Address - Fax:305-485-2962
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program