Provider Demographics
NPI:1316111560
Name:PUJARA, CHANDRALEKHA CHANDRAKANT (MD)
Entity type:Individual
Prefix:DR
First Name:CHANDRALEKHA
Middle Name:CHANDRAKANT
Last Name:PUJARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5298 POND BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323
Mailing Address - Country:US
Mailing Address - Phone:248-681-7022
Mailing Address - Fax:248-681-1074
Practice Address - Street 1:5298 POND BLUFF DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-2442
Practice Address - Country:US
Practice Address - Phone:248-681-7022
Practice Address - Fax:248-681-1074
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010385802080I0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080I0007XAllopathic & Osteopathic PhysiciansPediatricsClinical & Laboratory Immunology