Provider Demographics
NPI:1265696306
Name:CHANDRA, NAGALEELA M (MD)
Entity type:Individual
Prefix:
First Name:NAGALEELA
Middle Name:M
Last Name:CHANDRA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5730 EXECUTIVE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1762
Mailing Address - Country:US
Mailing Address - Phone:972-232-8080
Mailing Address - Fax:800-281-9558
Practice Address - Street 1:8000 FRANKFORD RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-6834
Practice Address - Country:US
Practice Address - Phone:972-232-8080
Practice Address - Fax:800-281-9558
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2023-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK8725207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine