Individual
PRATHIBHA CHANDRASEKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1825 SONOMA ST, REDDING, CA 96001-2519
(530) 243-8667
(530) 243-8742
Mailing address
1825 SONOMA ST, REDDING, CA 96001-2519
(530) 243-8667
(530) 243-8742
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C55292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2K1650
HEALTHNET
NJ
01
—
4549259
AETNA
NJ
05
—
8607001
—
NJ
01
—
P00019213
RAILROAD MEDICARE
NJ
01
—
P2522732
OXFORD
NJ
Enumeration date
05/02/2006
Last updated
12/17/2024
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