Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A33785 | CA |
Y | 111NI0900X | Internist | A33785 | CA |
N | 207RN0300X | Nephrologist | A33785 | CA |
NPI | 1013098557 |
---|---|
Provider Name | Dr. Jambur Eriah Chandrashekar |
First Address | Indio, CA 92201-5518 |
Second Address | Indio, CA 92201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 06/08/2018 |