| Doctor Name: | DR. SHAMIR PRAFUL CHANDARANA |
| NPI Number: | 1851556302 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., FRCS |
| License Number: | 4301091578 |
| Business Practice Address: | 1500 E Medical Center Dr 1st Floor Taubman Ctr Recp A Ann Arbor, MI - 481095312 |
| Business Phone Number: | 7349368051 |
| Business Fax Number: | |
| Mailing Address: | 3621 S State St, 700 Kms Place ANN ARBOR |
| State: | MI |
| Postal Code: | 48108 |
| Phone Number: | 7349362047 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2008 |
| NPI Last Update Date: | 09/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 4301091578 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |