Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 0101033784 | VA |
NPI | 1003838921 |
---|---|
Provider Name | Ramech Chalam |
First Address | Baltimore, MD 21279-0530 |
Second Address | Harrisonburg, VA 22801-3248 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 14/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B08139 | (02) |