Individual
DR. SHOBHA I CHIDAMBARAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6196 OXON HILL RD, SUITE 220, OXON HILL, MD 20745-3100
(301) 839-1590
(301) 839-2690
Mailing address
1406 GREENWOOD PL, ALEXANDRIA, VA 22304-1604
(703) 461-3785
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101032756
VA
2084N0400X
Neurology Physician
Primary
D0029744
MD
2084N0400X
Neurology Physician
MD12172
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101032756
VIRGINIA LICENCSE #
VA
01
—
0898534
AETNA
—
01
—
2308
BX/BS OF MARYLAND
MD
01
—
2506
BLUECROSS BS OF DC
—
01
—
D0029744
MARYLAND LICENSE #
MD
01
—
MD12172
DC LICENSE #
DC
Enumeration date
05/28/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us