Provider Demographics
NPI:1558983742
Name:KHATRI CHHETRI, RAM CHANDRA
Entity Type:Individual
Prefix:
First Name:RAM CHANDRA
Middle Name:
Last Name:KHATRI CHHETRI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BHAKTESWOR MARGA HOUSE NO 86 KAVREPALANCHOK
Mailing Address - Street 2:
Mailing Address - City:BANEPA
Mailing Address - State:STATE 3
Mailing Address - Zip Code:45210
Mailing Address - Country:NP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4201 MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050
Practice Address - Country:US
Practice Address - Phone:815-344-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program