Provider Demographics
NPI:1598858854
Name:CHANDRA, RAM (MD, MRCP(UK))
Entity Type:Individual
Prefix:DR
First Name:RAM
Middle Name:
Last Name:CHANDRA
Suffix:
Gender:M
Credentials:MD, MRCP(UK)
Other - Prefix:
Other - First Name:RAMAPPA
Other - Middle Name:
Other - Last Name:CHANDRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6635
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-6635
Mailing Address - Country:US
Mailing Address - Phone:973-980-8307
Mailing Address - Fax:732-909-2231
Practice Address - Street 1:9 AUER CT STE CD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5847
Practice Address - Country:US
Practice Address - Phone:848-200-2888
Practice Address - Fax:732-909-2231
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07433500202D00000X, 208000000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9088407Medicaid
NJ070119Medicare ID - Type Unspecified
NJ9088407Medicaid