Kutty Kunjan Chandran (NPI# 1669473799, PAC ID# 4082898960) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1669473799 |
| PAC ID by PECOS | 4082898960 |
| Professional Enrollment ID | I20120726000723 |
| Full Name | Kutty Kunjan Chandran |
| Address |
10161 W Sample Rd Suite B Coral Springs FL 33065-3954 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | ADDICTION MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100276 | BROWARD HEALTH CORAL SPRINGS |
| Address | Phone | Organization |
|---|---|---|
| 10161 W Sample Rd, Suite B, Coral Springs, FL 33065-3954 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
10161 W SAMPLE RD SUITE B |
| City | CORAL SPRINGS |
| State | FL |
| Zip | 33065-3954 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elysee Sinclair | Allergy/immunology | 10167 Nw31st St, Suite 200, Coral Springs, FL 33065 | |
| Farzad M Esfahani | Pathology | First Path LLC | 3000 Coral Springs Dr, Coral Springs, FL 33065 |
| Ronald F Giffler | Pathology | First Path LLC | 3000 Coral Springs Dr, Coral Springs, FL 33065 |
| Peter S Johnson | Pathology | First Path LLC | 3000 Coral Springs Dr, Coral Springs, FL 33065 |
| Maya Bat Ami | Psychologist, Clinical | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 | |
| Ilyssa M Hershey | Psychologist, Clinical | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 | |
| James N Kraut | Psychologist, Clinical | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 | |
| Nicole Witteboon | Clinical Social Worker | Nicole Witteboon Inc | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 |
| Bruce S Selden | Otolaryngology | 2855 N University Dr, Suite 300, Coral Springs, FL 33065-1404 | |
| Floyd Leigh Phillips Iii | Plastic and Reconstructive Surgery | 2855 N University Dr, Suite 400, Coral Springs, FL 33065-1408 | |
| Find all physicians in zip 33065 | |||
| City | CORAL SPRINGS |
| Zip Code | 33065 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CORAL SPRINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kutty Kunjan Chandran.
| 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.