Individual
CHANDRA RAMANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(978) 250-6000
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8239
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
80277
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015165
NEIGHBORHOOD HEALTH
MA
01
—
080277
TUFTS
MA
05
—
3193519
—
MA
01
—
J30274
BLUE CROSS
MA
01
—
PP564
HARVARD PILGRIM
MA
Enumeration date
01/18/2006
Last updated
02/06/2012
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