Provider Demographics
NPI:1760566855
Name:BEESAM, CHANDRA SHEKHAR R (MD)
Entity Type:Individual
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First Name:CHANDRA SHEKHAR
Middle Name:R
Last Name:BEESAM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:CCHS INC., SUITE 2502 PHYSICIAN CONTRACTING
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:302-623-7362
Mailing Address - Fax:302-623-7374
Practice Address - Street 1:4735 OGLETOWN STANTON RD
Practice Address - Street 2:MAP 2, SUITE 1201& 1205
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2072
Practice Address - Country:US
Practice Address - Phone:302-733-1980
Practice Address - Fax:302-733-1986
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2008-06-19
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Provider Licenses
StateLicense IDTaxonomies
DEC10003707208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEF62208Medicare UPIN
DEG02491C13Medicare PIN