Individual
DR. VENKATAPERUMAL R CHANDRASEKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1006 ROBERTSON ST, FORT COLLINS, CO 80524-3900
(970) 224-1596
(970) 530-1919
Mailing address
1006 ROBERTSON ST, FORT COLLINS, CO 80524-3900
(970) 224-1596
(970) 530-1919
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
38385
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62086022
—
CO
Enumeration date
01/23/2007
Last updated
09/24/2014
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