Provider Demographics
NPI:1134233851
Name:CHANDRASEKHAR, JAYARAMAN (MD)
Entity type:Individual
Prefix:DR
First Name:JAYARAMAN
Middle Name:
Last Name:CHANDRASEKHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 20324
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-0324
Mailing Address - Country:US
Mailing Address - Phone:661-327-1352
Mailing Address - Fax:661-704-4238
Practice Address - Street 1:6001 TRUXTUN AVE
Practice Address - Street 2:SUITE 120A
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0679
Practice Address - Country:US
Practice Address - Phone:661-327-1352
Practice Address - Fax:661-704-4238
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89686207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease