Prakul Chandra (NPI# 1497911937, PAC ID# 5193990513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497911937 |
| PAC ID by PECOS | 5193990513 |
| Professional Enrollment ID | I20111214000446 |
| Full Name | Prakul Chandra |
| Address |
931 E Winthrope Ave Millen GA 30442-1839 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111312 | OPTIM MEDICAL CENTER - SCREVEN |
| 111311 | JENKINS COUNTY MEDICAL CENTER |
| 110028 | UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 931 E Winthrope Ave, Millen, GA 30442-1839 | ||
| 961 E Winthrope Ave, Millen, GA 30442-1839 | 4789820120 | SCREVEN COUNTY HOSPITAL LLC |
| Street Address |
931 E WINTHROPE AVE |
| City | MILLEN |
| State | GA |
| Zip | 30442-1839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Lascuna | Nurse Practitioner | Southland Optim Jenkins Emergency Medical Services, LLC | 931 E Winthrope Ave, Millen, GA 30442-1839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie G. Bird | Nurse Practitioner | Screven County Hospital LLC | 961 E Winthrope Ave, Millen, GA 30442-1839 |
| Heywood K Gay | Internal Medicine | Screven County Hospital LLC | 961 E Winthrope Ave, Millen, GA 30442-1839 |
| Billie S Stout | Nurse Practitioner | East Georgia Healthcare Center, Inc. | 1075 E Winthrope Ave, Millen, GA 30442-6766 |
| City | MILLEN |
| Zip Code | 30442 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MILLEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Prakul Chandra.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.