# RANGRAM CHANDRAN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED RETINA INSTITUTE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730591041
- **Authorized official:** RANGRAM CHANDRAN MD (PRESIDENT)
- **Authorized official phone:** (415) 535-7900

## Contact information

- **Practice address:** 304 BANNER CT, SUITE 1, MODESTO, CA 95356-9194
- **Practice address phone:** (209) 572-2020
- **Practice address fax:** (209) 572-2040
- **Mailing address:** PO BOX 576067, MODESTO, CA 95357-6067
- **Mailing address phone:** (415) 535-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A81157 | CA | Yes |

## Other

- **Enumeration date:** 05/21/2014
- **Last updated:** 11/28/2014
