Dr. Khayriyyah E Chandler, DO
Family Medicine in Haddonfield, New Jersey
1104077130- Practice location
- 25A Tanner St, Haddonfield, NJ 08033-2403
- Phone
- 856-874-8194
- Fax
- 856-210-7068
- Last updated
- November 5, 2015
Khayriyyah E.t. Chandler is a Family Medicine based in Haddonfield, NJ. Khayriyyah E.t. Chandler practices in Haddonfield, NJ and has the professional credentials of DO. The NPI Number for Khayriyyah E.t. Chandler is 1104077130 and holds a License No. OT012192 (PA). The current practice location address for Khayriyyah E.t. Chandler is 25A Tanner St, Haddonfield, NJ 08033-2403 and can be reached out via phone at 856-874-8194 and via fax at 856-210-7068.
Provider Profile Details
- NPI Number
- 1104077130
- Provider Name
- Khayriyyah E.t. Chandler
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25A Tanner St, Haddonfield, NJ 08033-2403
- Phone Number
- 856-874-8194
- Fax Number
- 856-210-7068
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Other Names
- Dr. Khayriyyah E.t. Mack, DO (Former Name)
- Provider Enumeration Date
- October 8, 2008
- Last Update Date
- November 5, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25A Tanner St
Haddonfield, NJ 08033-2403 - City
- Haddonfield
- State
- New Jersey
- Zip
- 08033-2403
- Phone Number
- 856-874-8194
- Fax Number
- 856-210-7068
Provider Business Mailing Address Details
- Address
- 25A Tanner St
Haddonfield, NJ 08033-2403 - City
- Haddonfield
- State
- NJ
- Zip
- 08033-2403
- Phone Number
- 856-874-8194
- Fax Number
- 856-210-7068
License Information
- License Number (1)
- OT012192
- License State (1)
- PA
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- OS015236
- License State (2)
- PA
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- 25MB09223100
- License State (3)
- NJ
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Haddonfield, NJ
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- Dr. James W Vick, MDFamily Medicine · NPI 1336145465
- Dr. Kenneth N Panitch, MDFamily Medicine · NPI 1528038403
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Frequently Asked Questions
What is the NPI number of Dr. Khayriyyah E Chandler, DO?
The NPI number of Dr. Khayriyyah E Chandler, DO is 1104077130. It was assigned on October 8, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Khayriyyah E Chandler, DO?
Dr. Khayriyyah E Chandler, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PA under license number OT012192.
Where does Dr. Khayriyyah E Chandler, DO practice?
The practice location is 25A Tanner St, Haddonfield, NJ 08033-2403. The office can be reached at 856-874-8194 (phone) or 856-210-7068 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104077130 directly on the NPPES registry website.