DB CHANDORA MDPC (NPI# 1427484492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427484492 |
Entity Type | Organization |
Organization Name | DB CHANDORA MDPC |
Practice Address |
362 Upper Riverdale Rd Sw Riverdale GA 30274-2560 |
Mailing Address |
565 Lake Front Dr Lilburn GA 30047-7317 |
Practice Telephone | 4045503248 |
Practice Fax Number | 7708925259 |
Mailing Telephone | 4045503248 |
Enumeration Date | 2013-09-22 |
Last Update Date | 2013-11-07 |
Authorized Official Name | DR. DEEN B CHANDORA (OWNER) |
Authorized Official Telephone | 4045503248 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
25954 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003137472A | 05 |
Street Address |
362 UPPER RIVERDALE RD SW |
City | RIVERDALE |
State | GA |
Zip Code | 30274-2560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841379245 | Deen B Chandora | Psychiatry & Neurology | 362 Upper Riverdale Rd Sw, Riverdale, GA 30274-2560 | 2006-11-04 |
1164789525 | Aalok Chandora Md LLC | Psychiatry & Neurology | 362 Upper Riverdale Rd Sw, Riverdale, GA 30274-2560 | 2012-04-23 |
1164625158 | Aalok Chandora | Psychiatry & Neurology | 362 Upper Riverdale Rd Sw, Riverdale, GA 30274-2560 | 2007-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
Find all providers in zip 30274 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093338816 | Summit Wellness Group With Flaire Inc | Psychiatry & Neurology | 996 Huff Rd Nw Ste C, Atlanta, GA 30318-4333 | 2020-05-27 |
1578183737 | Veda Lara LLC | Psychiatry & Neurology | 1530 Laurel Park Cir Ne, Atlanta, GA 30329-3217 | 2020-04-17 |
1023651312 | Atlantic Advanced Branded Center, LLC. | Psychiatry & Neurology | 3635 Peachtree Industrial Blvd Ste 550, Duluth, GA 30096-2806 | 2019-10-20 |
1003211467 | Advanced Neuropsychiatric Health Professionals LLC | Psychiatry & Neurology | 2150 Peachford Rd Ste 1, Atlanta, GA 30338-6520 | 2014-10-28 |
1124331970 | Albany Addiction Associates, Inc. D/b/a Private Clinic Albany | Psychiatry & Neurology | 2607 Ledo Rd, Albany, GA 31707-1211 | 2010-07-22 |
1780811166 | Charles L Whitfield | Psychiatry & Neurology | 3462 Hallcrest Dr Ne, Atlanta, GA 30319-1910 | 2009-06-12 |
1003863788 | Family Behavioral Care of Central Ga, PC | Psychiatry & Neurology | 3985 Arkwright Rd, Suite 102, Macon, GA 31210-1774 | 2006-05-28 |
1396277968 | Psychiatric Professionals of Georgia | Psychiatry & Neurology | 1490 Distribution Dr Ste 150, Suwanee, GA 30024-2847 | 2017-04-01 |
1477097012 | Hope Springs Wellness and Recovery | Psychiatry & Neurology | 800 Kennesaw Ave Nw, Suite 120, Marietta, GA 30060-1051 | 2016-12-16 |
1144462466 | Scott Eric Balogh | Psychiatry & Neurology | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2009-04-01 |
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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.