Provider Demographics
NPI:1902082282
Name:CHANDE, NISHA (MD)
Entity type:Individual
Prefix:DR
First Name:NISHA
Middle Name:
Last Name:CHANDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NISHA
Other - Middle Name:
Other - Last Name:CHANDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:585 COBB AVE NW
Mailing Address - Street 2:KENNESAW HALL BUILDING 1; ROOM 2401; MD 0117
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-5563
Mailing Address - Country:US
Mailing Address - Phone:470-578-6600
Mailing Address - Fax:470-578-9102
Practice Address - Street 1:585 COBB AVE NW
Practice Address - Street 2:KENNESAW HALL BUILDING 1; ROOM 2401; MD 0117
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-5563
Practice Address - Country:US
Practice Address - Phone:470-578-6600
Practice Address - Fax:470-578-9102
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA614542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry