DR. SUDHA CHANDRASEKHAR (NPI# 1104824531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104824531 |
| Entity Type | Individual |
| Full Name | DR. SUDHA CHANDRASEKHAR |
| Credential | M.D., M.P.H., IBCLC |
| Practice Address |
205 S Dobson Rd Suite 1 Chandler AZ 85224-6183 |
| Mailing Address |
3200 E Camelback Rd Ste 250 Phoenix AZ 85018-2327 |
| Practice Telephone | 4809636668 |
| Practice Fax Number | 4809636669 |
| Mailing Telephone | 6029331814 |
| Mailing Fax Number | 6029331820 |
| Enumeration Date | 2005-07-10 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 29340 | AZ | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
29340 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
205 S DOBSON RD SUITE 1 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-6183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427598267 | Josette Marie Abeyta | Nurse Practitioner | 205 S Dobson Rd, Suite #1, Chandler, AZ 85224-6183 | 2017-02-27 |
| 1346635794 | Cosmetic and Family Dentistry Lana Wong Dds PC | Dentist | 205 S Dobson Rd, #3, Chandler, AZ 85224-6183 | 2015-04-02 |
| 1538124268 | Lana Lee Wong | Dentist | 205 S Dobson Rd, #3, Chandler, AZ 85224-6183 | 2006-04-18 |
| 1386645588 | Neva Schwartz | Nurse Practitioner | 205 S Dobson Rd, Suite 1, Chandler, AZ 85224-6183 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851802151 | Our Kidz Doc Pllc | Pediatrics | 3341 W Sheffield Ave, Chandler, AZ 85226-1418 | 2017-10-13 |
| 1780970343 | Abigail Frigillana Alviar | Pediatrics | 5680 W. Chandler Blvd., Suite 3, Chandler, AZ 85226-3342 | 2011-06-22 |
| 1164756995 | Amy Michelle Guzek | Pediatrics | 6909 W Ray Rd Ste 9, Chandler, AZ 85226-1526 | 2009-09-25 |
| 1699973750 | Pendleton Pediatrics PC | Pediatrics | 1445 W Chander Blvd, Bldg B, Chandler, AZ 85248 | 2007-07-10 |
| 1841399615 | Susan Chung | Pediatrics | 60 S Kyrene Rd, #1, Chandler, AZ 85226-4685 | 2006-09-21 |
| 1851318604 | Healing Hearts Pediatrics | Pediatrics | 595 N Dobson Rd Ste A18, Chandler, AZ 85224-4237 | 2006-07-17 |
| 1982677365 | Eric B Nyman | Pediatrics | 797 N Alma School Rd, Suite A8, Chandler, AZ 85224-3664 | 2006-02-08 |
| 1851362602 | Sumbul Shakoor | Pediatrics | 1850 W Frye Rd, Ste 101, Chandler, AZ 85224 | 2006-01-30 |
| 1174594931 | Asma Jafri | Pediatrics | 2175 N Alma School Rd Ste C104, Chandler, AZ 85224-2879 | 2006-01-30 |
| 1629059290 | Sandra Romero | Pediatrics | 595 N. Dobson Rd., Suite A18, Chandler, AZ 85224-4226 | 2005-11-09 |
| Find all providers in CHANDLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.