Provider Demographics
NPI:1568289593
Name:BARUWAL, CHANDANI
Entity type:Individual
Prefix:
First Name:CHANDANI
Middle Name:
Last Name:BARUWAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 N 3RD ST BLDG 3
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-2154
Mailing Address - Country:US
Mailing Address - Phone:602-496-0907
Mailing Address - Fax:
Practice Address - Street 1:550 N 3RD ST BLDG 3
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-2154
Practice Address - Country:US
Practice Address - Phone:602-496-0907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program