DR. SUNIL CHANDRA (NPI# 1417060666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417060666 |
| Entity Type | Individual |
| Full Name | DR. SUNIL CHANDRA |
| Credential | M.D. |
| Practice Address |
4108 Watermelon Rd Northport AL 35473-5130 |
| Practice Telephone | 2053669898 |
| Practice Fax Number | 2053669896 |
| Mailing Telephone | 2053669898 |
| Mailing Fax Number | 2053669896 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2013-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 20650 | AL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 20650 | AL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 20650 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529905210 | 05 |
| Street Address |
4108 WATERMELON RD |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457870743 | Emily R Jones | Family Medicine | 4108 Watermelon Rd, Northport, AL 35473-5130 | 2017-09-18 |
| 1598868044 | Curewell Medical Center | Legal Medicine | 4108 Watermelon Rd, Northport, AL 35473-5130 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124481437 | Victoria Schuster | Internal Medicine | 79 Middleville Rd Bldg 200, Northport, NY 11768-2200 | 2016-04-04 |
| 1316363740 | Alabama Bariatric and Wellness | Internal Medicine | 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 | 2014-03-10 |
| 1467790550 | Aldemir Yilmaz | Internal Medicine | 7 Exeter Ct, Northport, NY 11768-1058 | 2013-01-23 |
| 1326304593 | Ali John Zarrabi | Internal Medicine | 5 Beach Plum Dr, Northport, NY 11768-1128 | 2012-04-02 |
| 1427280973 | Ida Denise Robinson | Internal Medicine | 2201 Mcfarland Blvd., Northport, AL 35476 | 2009-08-18 |
| 1770702755 | Bruce Howard Berlin | Internal Medicine | 8 Tracy Ct, Northport, NY 11768-2859 | 2007-04-25 |
| 1013065788 | Basem Sadek Elfaham | Internal Medicine | 9 Woodfield Ave, Northport, NY 11768-2400 | 2007-01-08 |
| 1144387036 | Compcare Medical, P.C. | Internal Medicine | 12 Paddock Dr, Northport, NY 11768-2742 | 2007-01-02 |
| 1902967011 | Hillary Diamond | Internal Medicine | 99 Sea Cove Rd, Northport, NY 11768-1850 | 2006-12-12 |
| 1801981832 | Humaira Ambreen Iqbal | Internal Medicine | Vamc 79 Middle Ville Road, Northport, NY 11768 | 2006-10-04 |
| Find all providers in NORTHPORT | ||||
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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.