Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 32138 | KY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 49240 | TN |
NPI | 1144285099 |
---|---|
Provider Name | Chandrashekhar Ramaiah |
First Address | Nashville, TN 37203-5180 |
Second Address | Nashville, TN 37205-2013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 11/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1530810 | (05) | TN |
64036536 | (05) | KY |
H09038 | (02) | |
P01125852 | RR MEDICARE (01) | TN |