Provider Demographics
NPI:1902977747
Name:KARAMCHANDANI, VANDNA INDRU (MPT)
Entity Type:Individual
Prefix:MISS
First Name:VANDNA
Middle Name:INDRU
Last Name:KARAMCHANDANI
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12689 STONERIDGE LN
Mailing Address - Street 2:APT 203
Mailing Address - City:SOUTH ROCKWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:48179-9544
Mailing Address - Country:US
Mailing Address - Phone:734-324-3967
Mailing Address - Fax:
Practice Address - Street 1:3200 BIDDLE ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192-5937
Practice Address - Country:US
Practice Address - Phone:734-284-4499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501012013225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist