Provider Demographics
NPI:1639377260
Name:CHIRANAND, PAULPOJ (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULPOJ
Middle Name:
Last Name:CHIRANAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 S MICHIGAN AVENUE
Mailing Address - Street 2:STE 212
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-2859
Mailing Address - Country:US
Mailing Address - Phone:312-567-2795
Mailing Address - Fax:800-707-4890
Practice Address - Street 1:2600 S MICHIGAN AVE STE 212
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-2859
Practice Address - Country:US
Practice Address - Phone:312-567-2795
Practice Address - Fax:800-707-4890
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.122935207W00000X
IL036122935207WX0107X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101389500Medicaid