Provider Demographics
NPI:1912009622
Name:CHANDRAN, RAMESH (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:
Last Name:CHANDRAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2721 LITTLE ELM PKWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-6671
Mailing Address - Country:US
Mailing Address - Phone:972-464-1021
Mailing Address - Fax:214-872-3656
Practice Address - Street 1:2721 LITTLE ELM PKWY
Practice Address - Street 2:SUITE 220
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-6671
Practice Address - Country:US
Practice Address - Phone:972-464-1021
Practice Address - Fax:214-872-3656
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM3493207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB163431Medicare PIN