Provider Demographics
NPI:1801902598
Name:SEERAS, RAMESH CHANDRA (MD)
Entity type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:CHANDRA
Last Name:SEERAS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:80 BURR RIDGE PKWY
Mailing Address - Street 2:PMB 144
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-0832
Mailing Address - Country:US
Mailing Address - Phone:708-788-2040
Mailing Address - Fax:708-788-2044
Practice Address - Street 1:3114 OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-3031
Practice Address - Country:US
Practice Address - Phone:708-788-2040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036091870207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036091870Medicaid
IL036091870Medicaid
IL481030Medicare ID - Type Unspecified