Provider Demographics
NPI:1013099951
Name:CHAND, RAVINDRA R (MD)
Entity Type:Individual
Prefix:DR
First Name:RAVINDRA
Middle Name:R
Last Name:CHAND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:40 PASO ROBLES
Mailing Address - Street 2:DR. RAVI R CHAND, MD
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602
Mailing Address - Country:US
Mailing Address - Phone:312-420-2478
Mailing Address - Fax:949-207-3799
Practice Address - Street 1:22 ODYSSEY SUITE 240
Practice Address - Street 2:PACIFIC NEUROPSYCHIATRY AND SLEEP
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618
Practice Address - Country:US
Practice Address - Phone:949-207-3797
Practice Address - Fax:949-207-3799
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2014-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-1073382084P0800X
CAC528422084P0800X
TXN68362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK07524Medicare ID - Type UnspecifiedMEDICARE #
CACL897ZMedicare PIN
ILH76415Medicare UPIN