Provider Demographics
NPI:1487775037
Name:CHANDY, SIVI M (MD)
Entity type:Individual
Prefix:DR
First Name:SIVI
Middle Name:M
Last Name:CHANDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:M
Other - Last Name:CHANDY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 18484
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-8484
Mailing Address - Country:US
Mailing Address - Phone:832-454-5330
Mailing Address - Fax:
Practice Address - Street 1:17510 W GRAND PKWY S
Practice Address - Street 2:SUITE 560
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2645
Practice Address - Country:US
Practice Address - Phone:281-725-5433
Practice Address - Fax:281-725-5436
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2016-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4335207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine