Provider Demographics
NPI:1346025194
Name:CHANDRASHEKARAN, NIRUPAMA
Entity Type:Individual
Prefix:
First Name:NIRUPAMA
Middle Name:
Last Name:CHANDRASHEKARAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22025 NE REDMOND FALL CITY RD
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-8216
Mailing Address - Country:US
Mailing Address - Phone:425-213-7773
Mailing Address - Fax:
Practice Address - Street 1:22025 NE REDMOND FALL CITY RD
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-8216
Practice Address - Country:US
Practice Address - Phone:425-213-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program