Individual
MRS. DEEPA CHANDRASEKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD3156
TN
152W00000X
Optometrist
SB46TA691
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51500306
BCBS
AL
05
—
9933312
—
AL
Enumeration date
08/18/2006
Last updated
03/23/2022
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