Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MUDJIANTO CHANDRA, M.D.
ActiveDR. MUDJIANTO CHANDRA, M.D. is a Colon & Rectal Surgery healthcare provider located in TARZANA, California. NPI 1225152515 is currently active in the NPPES registry. Verify at CMS.
Colon & Rectal Surgery · TARZANA, CA
Registration Details
- NPI Number
- 1225152515
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2007 (19.37716520022 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
A52198 (CA)A52198 (CA)
Practice Information
- Address
-
18370 BURBANK BLVDSUITE 607TARZANA, CA, 913562804Browse CA providers · Browse ZIP 91356
- Phone
- 8187098161
- Fax
- 8187098160
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- Colon & Rectal Surgery
Other Colon & Rectal Surgery Providers in TARZANA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES N HEADRICK | MD | 1265537831 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.