Provider Demographics
NPI:1003838921
Name:CHALAM, RAMECH (MD)
Entity Type:Individual
Prefix:
First Name:RAMECH
Middle Name:
Last Name:CHALAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 79530
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-0530
Mailing Address - Country:US
Mailing Address - Phone:540-879-2583
Mailing Address - Fax:540-879-2659
Practice Address - Street 1:235 CANTRELL AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3248
Practice Address - Country:US
Practice Address - Phone:540-879-2583
Practice Address - Fax:540-879-2659
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101033784207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B08139Medicare UPIN