| Chanda S Dihenia Md Pa | |
|
3619 22nd Pl Lubbock TX 79410-1317 | |
| (806) 771-7720 | |
| (806) 771-7721 |
| Full Name | Chanda S Dihenia Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3619 22nd Pl, Lubbock, Texas |
| Authorized Official Name and Position | Chanda S Dihenia (OWNER) |
| Authorized Official Contact | 8067717720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chanda S Dihenia Md Pa 3619 22nd Pl Lubbock TX 79410-1317 Ph: (806) 771-7720 | Chanda S Dihenia Md Pa 3619 22nd Pl Lubbock TX 79410-1317 Ph: (806) 771-7720 |
| NPI Number | 1598707846 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 06/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598707846 | NPI | - | NPPES |
| 178691501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K3157 (Texas) | Primary |
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