Individual
RAJESH CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-077108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224224
UNISON
—
01
—
000000539714
ANTHEM
—
01
—
110209339
RAILROAD MEDICARE
OH
05
—
2137324
—
OH
01
—
2203015
AETNA
OH
01
—
363409
WELLCARE
—
01
—
737698
BUCKEYE
—
01
—
P00431955
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
12/21/2020
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