Provider Demographics
NPI:1962551036
Name:CHANDER, RAJAT (MD)
Entity type:Individual
Prefix:DR
First Name:RAJAT
Middle Name:
Last Name:CHANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 SW CARY PKWY STE 309
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511
Mailing Address - Country:US
Mailing Address - Phone:919-846-9011
Mailing Address - Fax:844-587-9567
Practice Address - Street 1:1505 SW CARY PKWY STE 309
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511
Practice Address - Country:US
Practice Address - Phone:919-846-9011
Practice Address - Fax:844-587-9567
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94-00030174400000X
NC9400030207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCG23926Medicare UPIN
NC2221946Medicare ID - Type Unspecified