Individual
SHANKER CHANDIRAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3793 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1044
(502) 897-7107
(502) 897-7613
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 253-1035
(502) 253-1037
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
27012
KY
207RI0011X
Interventional Cardiology Physician
27012
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000709130
ANTHEM-NBHS
KY
01
—
000057119Q
HUMANA-NBHS
KY
01
—
0355747
CIGNA-NBHS
KY
01
—
125263
SIHO -NBHS
KY
01
—
50032634
PASSPORT-NBHS
KY
05
—
64270127
—
KY
01
—
P00933110
MEDICARE RAILROAD KY - NBHS
KY
Enumeration date
06/09/2006
Last updated
12/02/2020
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