Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 01058085A | IN |
Y | 207RG0100X | Gastroenterologist | 52067 | KY |
N | 207RG0100X | Gastroenterologist | MD39482 | TN |
NPI | 1013934710 |
---|---|
Provider Name | Lingaiah Chandrashekar |
First Address | Toledo, OH 43604-7102 |
Second Address | Paducah, KY 42003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 06/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3330719 | (05) | TN |
H93190 | (02) |