Individual
DR. AMBAT CHITRA CHANDRASEKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5656 KELLEY ST, HOUSTON, TX 77026-1967
(713) 566-5440
(713) 566-4135
Mailing address
5104 BRAEBURN DR, BELLAIRE, TX 77401-4902
(713) 882-4401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G4272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146413301
—
TX
01
—
146413302
CSHCN
TX
01
—
146413304
CSHCN
TX
01
—
8B8775
BCBS
TX
Enumeration date
06/03/2006
Last updated
12/06/2021
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