Kailash Chandwani, MD | |
4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | |
(910) 671-9298 | |
(910) 671-4850 |
Full Name | Kailash Chandwani |
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Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 4901 Dawn Dr, Lumberton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912126244 | NPI | - | NPPES |
5922103 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | MD440134 (Pennsylvania) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 2012-02074 (North Carolina) | Primary |
Entity Name | Rpk Center For Rehab, Spine & Pain |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093778110 PECOS PAC ID: 0749279438 Enrollment ID: O20040507001264 |
Entity Name | Southeastern Regional Physician Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427282045 PECOS PAC ID: 7012058548 Enrollment ID: O20100106000556 |
Mailing Address | Practice Location Address |
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Kailash Chandwani, MD 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 Ph: (910) 272-3048 | Kailash Chandwani, MD 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 Ph: (910) 671-9298 |
Dr. Michael Abdou, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 4901 Dawn Dr Ste 2400, Lumberton, NC 28360 Phone: 910-671-9298 Fax: 910-671-4850 | |
John Matthew Cecchini, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 | |
Tamera Hixon, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2905 N Elm St, Lumberton, NC 28358 Phone: 910-738-8154 Fax: 910-671-8818 |