Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | ME78588 | FL |
NPI | 1235180217 |
---|---|
Provider Name | Dr. Sundararaman Chandrasekhar |
First Address | West Palm Beach, FL 33407-2452 |
Second Address | West Palm Beach, FL 33407-2452 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 23/06/2020 |