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Dr. Mudjianto Chandra, MD
Colon & Rectal Surgery Physician in Tarzana, California
NPI 1225152515

Mudjianto Chandra is a Colon & Rectal Surgery Physician based in Tarzana, CA. Mudjianto Chandra practices in Tarzana, CA and has the professional credentials of MD. The NPI Number for Mudjianto Chandra is 1225152515 and holds a License No. A52198 (California).

The current practice location address for Mudjianto Chandra is 18370 Burbank Blvd, Tarzana, CA and can be reached out via phone at 818-709-8161 and via fax at 818-709-8160.

Location: 18370 Burbank Blvd, Tarzana, CA, 91356-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225152515
Provider Name
Mudjianto Chandra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18370 Burbank Blvd, Tarzana, CA, 91356-2804
Phone Number
818-709-8161
Fax Number
818-709-8160
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A521980 01 CA BLUE SHIELD
A52198 01 OTHER
A52198 01 TRICARE
P92709600 01 OXFORD
A52198 01 CA BLUE CROSS
00A521980 05 CA
institution
Provider Business Practice Location Address Details
Address
18370 Burbank Blvd
City
Tarzana
State
California
Zip
91356-2804
Phone Number
818-709-8161
Fax Number
818-709-8160
person
Provider Business Mailing Address Details
Address
18370 Burbank Blvd
City
Tarzana
State
California
Zip
91356-2804
Phone Number
818-709-8161
Fax Number
818-709-8160
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
A52198 (California)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Colon & Rectal Surgery
Speciality
-
Taxonomy
208C00000X
License No.
A52198 (California)
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
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