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Individual
SRIRAM CHANDRAN
Active
Individual
SRIRAM CHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301097354
MI
207Q00000X
Family Medicine Physician
Primary
A137013
CA
208M00000X
Hospitalist Physician
17080
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4005
ADDRESS
—
Enumeration date
07/09/2010
Last updated
05/22/2018
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