Provider Demographics
NPI:1689670440
Name:CHANDRA, RAM I (MD)
Entity Type:Individual
Prefix:DR
First Name:RAM
Middle Name:I
Last Name:CHANDRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1517 FOX CHASE LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3147
Mailing Address - Country:US
Mailing Address - Phone:412-257-2040
Mailing Address - Fax:412-257-5137
Practice Address - Street 1:1300 OXFORD DRIVE SUITE LLB
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102
Practice Address - Country:US
Practice Address - Phone:412-692-3143
Practice Address - Fax:412-692-8848
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD019008E2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD019008EOtherMEDICAL LICENSE
PA00657507001Medicaid
PA00657507001Medicaid
D71073Medicare UPIN